JESSE M. CHUA-REYES M.D. NPI 1669473724

NPI Information

NPI: 1669473724
Provider Name: JESSE M. CHUA-REYES, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 688-8200
Get Directions

Jesse M. Chua-reyes, M.D. is a geriatric medicine internal medicine in New Haven, CT. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Jesse M. Chua-reyes, M.D. NPI is 1669473724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

874 HOWARD AVE
NEW HAVEN, CT
ZIP 06519-106
Phone: (203) 688-8200
Fax: (203) 688-8204

The NPI 1669473724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 1/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	035500	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061561581	OTHER	CONNECTICUT	CIGNA
2	3385240	OTHER	CONNECTICUT	AETNA
3	P00053271	OTHER	CONNECTICUT	RAIL ROAD MEDICARE
4	758106	OTHER	CONNECTICUT	CONNECTICARE
5	010035500CT01	OTHER	CONNECTICUT	ANTHEM BC/BS
6	0Q2710	OTHER	CONNECTICUT	HEALTH NET
7	061561581	OTHER	CONNECTICUT	HEALTH CT
8	061561581	OTHER	CONNECTICUT	UNITED HEALTHCARE
9	H88377	MEDICARE UPIN
10	355508	OTHER	CONNECTICUT	WELLCARE OF CT
11	001355008	MEDICAID	CONNECTICUT
12	P2932518	OTHER	CONNECTICUT	OXFORD
13	110008920	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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