Active NPI
Rachel Jankovsky, PA
- Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024404
- Practice address
- 10 Columbus Blvd
Hartford, CT 06106-1976 - Phone
- (860) 837-5619
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 024404 | NY | Primary |
Addresses
Primary practice location
10 Columbus Blvd
Hartford, CT 06106-1976
Mailing address
60 Orange Ter
West Haven, CT 06516-1514
Phone (203) 605-2665
Other practice location 1
2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1911
Other practice location 2
1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 359-2120
Other practice location 3
1425 Portland Ave Bldg 3
Rochester, NY 14621-3095
Phone (585) 922-0866
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rjankovsky69607@connecticutchildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024404 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Rochester General Hospital | Past | Accepting new patients |
Locations
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
Physician Assistant
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1912540964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 ORANGE TER",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065161514",
"telephone_number": "203-605-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 COLUMBUS BLVD",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061061976",
"telephone_number": "860-837-5619"
}
],
"practiceLocations": [
{
"address_1": "2 Coulter Rd",
"address_purpose": "LOCATION",
"city": "Clifton Springs",
"state": "NY",
"postal_code": "144321122",
"country_code": "US",
"telephone_number": "315-462-1911",
"fax_number": "316-462-2430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Driving Park Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NY",
"postal_code": "145131090",
"country_code": "US",
"telephone_number": "315-359-2120",
"fax_number": "315-359-2806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Portland Ave Bldg 3",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213095",
"country_code": "US",
"telephone_number": "585-922-0866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANKOVSKY",
"first_name": "RACHEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2022-11-15",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024404",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjankovsky69607@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "10 Columbus Blvd",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061061976",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.