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JORDAN HATHORN PA-C
NPI 1053266460
Physician Assistant in New Haven, CT

Active since March 02, 2026
400 BLAKE ST APT 4211, NEW HAVEN, CT 06515(585) 479-0786 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Hathorn Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN HATHORN PA-C (NPI 1053266460) is an individual physician assistant in New Haven, Connecticut, licensed in Connecticut (7520) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1053266460
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN HATHORNCredential: PA-C
Location Address400 BLAKE ST APT 4211New Haven, CT 06515-4419
Mailing Address400 Blake St Apt 4211New Haven, CT 06515-4419 · (585) 479-0786
Phone(585) 479-0786
Sole ProprietorNo
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1053266460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 7520
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 BLAKE ST APT 4211, New Haven, CT 06515
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Hathorn's NPI number?

The NPI number for Jordan Hathorn is 1053266460. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Jordan Hathorn located?

Jordan Hathorn practices at 400 Blake St Apt 4211, New Haven, CT 06515. The listed phone number is (585) 479-0786.

What is Jordan Hathorn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jordan Hathorn was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.