NPI 1811910128 · live from the CMS NPI Registry
Jason Asselin, PA-C
Physician Assistant in New Haven, CT. National Provider Identifier 1811910128, active.
NPI record
| NPI | 1811910128 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1450 Chapel St, New Haven, CT 06511 |
| Practice phone | 475-227-7503 |
| Mailing address | 1910 South Rd, Poughkeepsie, NY 12601 |
| Enumerated | July 26, 2006 |
| Last updated | February 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | 963 (CT) |
| Surgery | 208600000X | 963 (CT) |
| Physician Assistant primary | 363A00000X | 024631 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.