Active NPI
Jason M. Citarella, D.O.
- Pediatrics Physician
- Monroe, CT
National Provider Identifier
1992725238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 000547
- Practice address
- 450 Monroe Tpke
Monroe, CT 06468-2343 - Phone
- (203) 261-2525
- Fax
- (203) 459-0396
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 000547 | CT | Primary |
Addresses
Primary practice location
450 Monroe Tpke
Monroe, CT 06468-2343
Mailing address
450 Monroe Tpke
Monroe, CT 06468-2343
Phone (203) 261-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000547 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield County Healthcare Associates | Pediatrics | Past | Accepting new patients |
| Bridgeport Monroe Pediatric GRP., PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jcitarella25491@direct.ynhh.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Bridgeport, CT
- NPI 1427135698
-
dba Pediatric Healthcare Associates
- Pediatrics Physician
- Trumbull, CT
- NPI 1235212036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992725238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 MONROE TPKE",
"city": "MONROE",
"state": "CT",
"postal_code": "064682343",
"telephone_number": "203-261-2525",
"fax_number": "203-459-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 MONROE TPKE",
"city": "MONROE",
"state": "CT",
"postal_code": "064682343",
"telephone_number": "203-261-2525",
"fax_number": "203-459-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITARELLA",
"first_name": "JASON",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "000547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
- Elizabeth Chakraborty, LPC
- Catherine Champagne
- Jennifer E Chandler
- Naga Chirunomula, MD
- Sekhar Chirunomula, MD
- Clear Path Therapy LLC
- Coastal Hearing AIDS of Connecticut LLC (Coastal Hearing Aids)
- Gen Cobuzzi, RPH
- Collective Growth Counseling & Supervision LLC
- Collective Growth Counseling & Supervision LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.