Active NPI
OB-GYN Professional Associates PC
- Obstetrics & Gynecology Physician
- Stamford, CT
National Provider Identifier
1013011543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OB-GYN PROFESSIONAL ASSOCIATES PC
- Practice address
- 166 W Broad St
Suite 201
Stamford, CT 06902-3661 - Phone
- (203) 325-9710
- Fax
- (203) 325-0176
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Corinne E De Cholnoky, M.D.
- Title
- President
- Phone
- (203) 325-9710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
166 W Broad St
Suite 201
Stamford, CT 06902-3661
Mailing address
166 W Broad St
Suite 201
Stamford, CT 06902-3661
Phone (203) 325-9710
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010025249CT01 | Other | CT | ANTHEM |
| 2080384 | Other | CT | AETNA |
| 2V5971 | Other | CT | HEALTHNET |
| 025249 | Other | CT | CONNECTICARE |
| ZS008 | Other | CT | OXFORD |
| 160000738 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
166 W Broad St
Ste 201
Stamford, CT 06902
Phone (203) 325-9710
2001 W Main St
Ste 125
Stamford, CT 06902
Phone (203) 253-9885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Stamford, CT
- NPI 1740384379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1013011543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 W BROAD ST",
"address_2": "SUITE 201",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023661",
"telephone_number": "203-325-9710",
"fax_number": "203-325-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 W BROAD ST",
"address_2": "SUITE 201",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023661",
"telephone_number": "203-325-9710",
"fax_number": "203-325-0176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB-GYN PROFESSIONAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "DE CHOLNOKY",
"authorized_official_first_name": "CORINNE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-325-9710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010025249CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2080384",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V5971",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "025249",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ZS008",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160000738",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.