JORDAN ANIEL DORELUS MMSC
NPI 1780446500
Physician Assistant - Medical in New Haven, CT
About Jordan Aniel Dorelus Mmsc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN ANIEL DORELUS MMSC (NPI 1780446500) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (23.006496) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Aniel Dorelus Mmsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Dorelus's NPI number?
The NPI number for Jordan Dorelus is 1780446500. It was assigned to this individual provider in the NPPES registry on January 26, 2024.
Where is Jordan Dorelus located?
Jordan Dorelus practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.
What is Jordan Dorelus's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jordan Dorelus enrolled in Medicare?
Yes. Jordan Dorelus is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Dorelus was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jordan Aniel Dorelus, MMSC · NPI 1780446500
Medical physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since January 26, 2024.
## Identity
- **NPI:** 1780446500 (Entity type: Individual)
- **Enumerated:** January 26, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 23.006496 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 YORK ST, New Haven, CT 06510-3220
- **Phone:** (203) 688-4242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780446500) · Data from the CMS NPPES public registry.