Active NPIIndividual provider

Dr. Jason P Corcoran, DO

Student in an Organized Health Care Education/Training Program in Newington, Connecticut

NPI Number1639960511
Practice location
555 Willard Ave, Newington, CT 06111-2631
Fax
—
Last updated
May 13, 2025

Jason Patrick Corcoran is a Student in an Organized Health Care Education/Training Program based in Newington, CT. Jason Patrick Corcoran practices in Newington, CT and has the professional credentials of DO. The NPI Number for Jason Patrick Corcoran is 1639960511. The current practice location address for Jason Patrick Corcoran is 555 Willard Ave, Newington, CT 06111-2631 and can be reached out via phone at 860-666-6951.

Provider Profile Details

NPI Number
1639960511
Provider Name
Jason Patrick Corcoran
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
555 Willard Ave, Newington, CT 06111-2631
Phone Number
860-666-6951
Sole Proprietor
No
Provider Enumeration Date
May 13, 2025
Last Update Date
May 13, 2025
Certification Date
May 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Willard Ave
Newington, CT 06111-2631
Zip
06111-2631
Phone Number
860-666-6951
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Farmington, CT 06030-1921
City
Farmington
State
CT
Zip
06030-1921
Phone Number
860-679-2147

License Information

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 Dr. Jason P Corcoran, DO?

The NPI number of Dr. Jason P Corcoran, DO is 1639960511. It was assigned on May 13, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason P Corcoran, DO?

Dr. Jason P Corcoran, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Dr. Jason P Corcoran, DO practice?

The practice location is 555 Willard Ave, Newington, CT 06111-2631. The office can be reached at 860-666-6951 (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 1639960511 directly on the NPPES registry website.

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