Active NPI
Daniel Jew, PA
- Surgical Physician Assistant
- Stamford, CT
National Provider Identifier
1992857072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 006289
- Practice address
- 30 Shelburne Rd.
Stamford Hospital, Dept. of Cardiac Surgery
Stamford, CT 06904 - Phone
- (203) 276-2000
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 006289 | NY | Primary |
Addresses
Primary practice location
30 Shelburne Rd.
Stamford Hospital, Dept. of Cardiac Surgery
Stamford, CT 06904
Mailing address
30 Shelburne Rd
Stamford, CT 06902-3628
Phone (203) 276-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.6 of 100
- Quality
- 84.86
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006289 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1992857072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SHELBURNE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023628",
"telephone_number": "203-276-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SHELBURNE RD.",
"address_2": "STAMFORD HOSPITAL, DEPT. OF CARDIAC SURGERY",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06904",
"telephone_number": "203-276-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEW",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "006289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.