Algenis Jordan, PA
Physician Assistant in Waterbury, Connecticut
1770253999- Practice location
- 617 Watertown Ave, Waterbury, CT 06708-2243
- Phone
- 203-753-2119
- Fax
- —
- Last updated
- November 21, 2025
Algenis Jordan is a Physician Assistant based in Waterbury, CT. Algenis Jordan practices in Waterbury, CT and has the professional credentials of PA. The NPI Number for Algenis Jordan is 1770253999 and holds a License No. 6092 (CT). The current practice location address for Algenis Jordan is 617 Watertown Ave, Waterbury, CT 06708-2243 and can be reached out via phone at 203-753-2119.
Provider Profile Details
- NPI Number
- 1770253999
- Provider Name
- Algenis Jordan
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 617 Watertown Ave, Waterbury, CT 06708-2243
- Phone Number
- 203-753-2119
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 18, 2021
- Last Update Date
- November 21, 2025
- Certification Date
- November 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 617 Watertown Ave
Waterbury, CT 06708-2243 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2243
- Phone Number
- 203-753-2119
Provider Business Mailing Address Details
- Address
- 617 Watertown Ave
Waterbury, CT 06708-2243 - City
- Waterbury
- State
- CT
- Zip
- 06708-2243
- Phone Number
- 203-753-2119
License Information
- License Number
- 6092
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Algenis Jordan, PA?
The NPI number of Algenis Jordan, PA is 1770253999. It was assigned on September 18, 2021 and is currently active in the NPPES registry.
What is the specialty of Algenis Jordan, PA?
Algenis Jordan, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 6092.
Where does Algenis Jordan, PA practice?
The practice location is 617 Watertown Ave, Waterbury, CT 06708-2243. The office can be reached at 203-753-2119 (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 1770253999 directly on the NPPES registry website.