Active NPIIndividual provider

Zachary J Jupin, PA-C

Physician Assistant, Medical in Groton, Connecticut

NPI Number1396186631
Practice location
220 Route 12, Groton, CT 06340-3414
Fax
—
Last updated
October 15, 2015

Zachary J. Jupin is a Physician Assistant, Medical based in Groton, CT. Zachary J. Jupin practices in Groton, CT and has the professional credentials of PA-C. The NPI Number for Zachary J. Jupin is 1396186631 and holds a License No. MA056193 (PA). The current practice location address for Zachary J. Jupin is 220 Route 12, Groton, CT 06340-3414 and can be reached out via phone at 860-446-6137.

Provider Profile Details

NPI Number
1396186631
Provider Name
Zachary J. Jupin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
220 Route 12, Groton, CT 06340-3414
Phone Number
860-446-6137
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2013
Last Update Date
October 15, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Route 12
Groton, CT 06340-3414
City
Groton
Zip
06340-3414
Phone Number
860-446-6137
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
220 Route 12
Groton, CT 06340-3414
City
Groton
State
CT
Zip
06340-3414
Phone Number
860-446-6137

License Information

License Number (1)
MA056193
License State (1)
PA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
003328
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Zachary J Jupin, PA-C?

The NPI number of Zachary J Jupin, PA-C is 1396186631. It was assigned on July 16, 2013 and is currently active in the NPPES registry.

What is the specialty of Zachary J Jupin, PA-C?

Zachary J Jupin, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PA under license number MA056193.

Where does Zachary J Jupin, PA-C practice?

The practice location is 220 Route 12, Groton, CT 06340-3414. The office can be reached at 860-446-6137 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396186631 directly on the NPPES registry website.

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