Candice G Jersey

D.O | Pediatrics | Female

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Complete Profile:

Candice G Jersey basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Candice G Jersey
Other Name :	Candice G Williams
Credential :	D.O
Gender :	Female

Business Address:

Candice G Jersey address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	263 Farmington Ave Farmington, CT, 06030-1530 United States
Phone Number :	860-679-2147

Professional Identification Codes:

NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.

NPI Number :	1598110215
NPI Entity Type :	Individual
First Enrolment Date :	02 May, 2016
Last Updated On :	13 Feb, 2023

Medicare Participation:

Candice G Jersey participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0042548695
Medicare Enrollment ID :	I20211011001699
Primary Specialty :	Pediatric Medicine
Medical School :	New York College Of Osteo Medicine Of New York Institute Of Technology
Graduation Year :	2016
Accepts Medicare?	Yes. Candice G Jersey accepts medicare insurance.

Group Practice Association:

Candice G Jersey is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Candice G Jersey is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Connecticut Children's Specialty Group, Inc	6002720117	111	599 Farmington Ave Farmington, CT - 060322356 Ph: 8605459000	Yes
Connecticut Children's Specialty Group, Inc	6002720117	111	282 Washington St Hartford, CT - 061063322 Ph: 8605459000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Candice G Jersey are as mentioned. Primary taxonomy code for Candice G Jersey, D.O is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No		-
208000000X	Pediatrics	Yes	63814	CT

Other Practice Locations:

Practice Address	City, State	Phone Number
100 WOODS RD, VALHALLA, NY, 10595-1530 United States	VALHALLA, NY	914-493-7000
599 FARMINGTON AVE, FARMINGTON, CT, 06032-2381 United States	FARMINGTON, CT	860-837-5171

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	263 Farmington Ave Farmington, CT, 06030-0002 United States
Phone Number :	860-679-2147

Business Location:

Patients can refer following map for directions to Candice G Jersey practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.