Jennifer L Aldrich, PA-C
Individual provider Active NPI Physician Assistant · Waterbury, CT
NPI 1992108757 · NPPES record last updated Aug 3, 2015
Key facts
- NPI
- 1992108757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3211 (CT)
- Practice address
- 64 Robbins St
Waterbury, CT 06708-2613 - Phone
- (203) 573-6000
- NPI assigned
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Midstate Radiology Associates LLC
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (203) 949-2700
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700
Hospital & facility affiliations
- Midstate Medical Center
- The Hospital of Central Connecticut
- Hartford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804003747 | CT | Practitioner - Physician Assistant | 6002120136 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| St. Vincents Urgent Care LLC | Current |
Accepting new patients | |
| CT Colony Emergency Physicians, LLC | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
1000 Asylum Ave
Ste 3201E
Hartford, CT 06105
Phone (860) 714-2724
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433
7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Interoperability endpoints
- jennifer.aldrich@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3211 | CT | Yes |
Addresses
Primary practice location
64 Robbins St
Waterbury, CT 06708-2613
Mailing address
64 Robbins St
Waterbury, CT 06708-2613
Other names
- Jennifer L Aldrich
Other providers in Waterbury, CT
- Vittoria Albanese
- Dina Jo Albano
- Albino Chiropractic Health & Wellness Center LLC
- James Armand Albino
- Bernice Aldarondo
- Raya Aleksieva
- Lori Ann Algar
- Crystal Algea
- Mir Yabir Ali
- Rahmat Ali
All providers in Waterbury, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.