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JANIS A. JAQUEZ PA
NPI 1215002779
Physician Assistant - Medical in West Hartford, CT

Active since November 21, 2006
74 PARK RD, WEST HARTFORD, CT 06119(860) 218-1725(860) 218-1727 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janis A. Jaquez Pa NPPES

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

JANIS A. JAQUEZ PA (NPI 1215002779) is an individual medical provider in West Hartford, Connecticut, licensed in Connecticut (001743) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215002779
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJANIS A. JAQUEZCredential: PA
Location Address74 PARK RDWest Hartford, CT 06119-1853
Mailing Address74 Park RdWest Hartford, CT 06119-1853 · (860) 218-1725 · Fax (860) 218-1727
Phone(860) 218-1725
Fax(860) 218-1727
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateMay 23, 2012
✔ NPI 1215002779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 001743
74 PARK RD, West Hartford, CT 06119
Open in Google Maps ↗

Other Identifiers 2

Other001743CT · Lic Number
Medicare PIND400015568

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMMAD ALJANABY M.D.
Physical Medicine & Rehabilitation
74 PARK RD
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 218-1725
SAYURI INTEGRATIVE SERVICES, LLC
Community/Behavioral Health
74 PARK RD
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 593-7243
DR. IGOR SAMEGULIN MD
Family Medicine
74 PARK RD
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 218-1725
DR. ALLISON MENDELSON D.C.
Chiropractor
74 PARK RD
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 269-3228
MILLER HOMECARE LLC
In Home Supportive Care
74 PARK RD
WEST HARTFORD, CT 06119
Capitol Planning Region (347) 906-4528
DR. WAZIDA TABASSUM DC
Chiropractor (Rehabilitation)
74 PARK RD, SUITE # 4
WEST HARTFORD, CT 06119
Capitol Planning Region (860) 218-1725

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 Janis Jaquez's NPI number?

The NPI number for Janis Jaquez is 1215002779. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Janis Jaquez located?

Janis Jaquez practices at 74 Park Rd, West Hartford, CT 06119. The listed phone number is (860) 218-1725.

What is Janis Jaquez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Janis Jaquez was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.