Jay R Humphrey (NPI# 1497977235, PAC ID# 2961586086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497977235 |
| PAC ID by PECOS | 2961586086 |
| Professional Enrollment ID | I20080826000293 |
| Full Name | Jay R Humphrey |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
57 Main St Centerbrook CT 06409-1003 |
| Phone Number | 8607670098 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 57 Main St, Centerbrook, CT 06409-1003 | 8607670098 | NORTHEAST MEDICAL GROUP INC |
| 95 Armory Rd, Stratford, CT 06614-1702 | 2033843388 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
57 MAIN ST |
| City | CENTERBROOK |
| State | CT |
| Zip | 06409-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Weiss | Family Medicine | Northeast Medical Group Inc | 57 Main St, Centerbrook, CT 06409-1003 |
| Sara Erlich | Optometry | 57 Main St, Hackensack, NJ 07601-7001 | |
| Steven J Gaunya | Chiropractic | 57 Main St, Suite 1, Sturbridge, MA 01566-1283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Mallimson | Clinical Psychologist | 68 Main St, Centerbrook, CT 06409-1001 | |
| Corinne B Ferola | Clinical Social Worker | 90 Main St, Suite 202, Centerbrook, CT 06409-1056 | |
| Shirley M Curioso | Optometry | 90 Main St, Suite 101, Centerbrook, CT 06409-1057 |
| City | CENTERBROOK |
| Zip Code | 06409 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CENTERBROOK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jay R Humphrey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.