Active NPIIndividual provider

Janine A Tedesco, PA-C

Physician Assistant in Darien, Connecticut

NPI Number1487821401
Practice location
85 Old Kings Hwy N, Darien, CT 06820-4732
Fax
203-425-2794
Last updated
January 31, 2023

Janine A Tedesco is a Physician Assistant based in Darien, CT. Janine A Tedesco practices in Darien, CT and has the professional credentials of PA-C. The NPI Number for Janine A Tedesco is 1487821401 and holds a License No. 011301 (NY). The current practice location address for Janine A Tedesco is 85 Old Kings Hwy N, Darien, CT 06820-4732 and can be reached out via phone at 203-425-2790 and via fax at 203-425-2794.

Provider Profile Details

NPI Number
1487821401
Provider Name
Janine A Tedesco
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
85 Old Kings Hwy N, Darien, CT 06820-4732
Phone Number
203-425-2790
Fax Number
203-425-2794
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 8, 2008
Last Update Date
January 31, 2023
Certification Date
January 31, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Old Kings Hwy N
Darien, CT 06820-4732
City
Darien
Zip
06820-4732
Phone Number
203-425-2790
Fax Number
203-425-2794
Darien, CT 06820Get directions →

Provider Business Mailing Address Details

Address
85 Old Kings Hwy N
Darien, CT 06820-4732
City
Darien
State
CT
Zip
06820-4732
Phone Number
203-425-2790
Fax Number
203-425-2794

License Information

License Number (1)
011301
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
2234
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Janine A Tedesco, PA-C?

The NPI number of Janine A Tedesco, PA-C is 1487821401. It was assigned on May 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Janine A Tedesco, PA-C?

Janine A Tedesco, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 011301.

Where does Janine A Tedesco, PA-C practice?

The practice location is 85 Old Kings Hwy N, Darien, CT 06820-4732. The office can be reached at 203-425-2790 (phone) or 203-425-2794 (fax).

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 1487821401 directly on the NPPES registry website.

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