Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jason Paul Prevelige, PA-C

Individual provider Medical Physician Assistant · NPI 1871826701

Mr. Jason Paul Prevelige, PA-C is a Medical Physician Assistant in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

56 Franklin St
Waterbury, CT 06706-1221
Phone: (203) 709-6004
Fax: (203) 709-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 002305 (CT)

Record details

NPI number1871826701
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2009
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

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