Zozan Chweich, MD
Individual provider Active NPI Pediatrics Physician · South Windsor, CT
NPI 1013411263 · NPPES record last updated Oct 18, 2025
Key facts
- NPI
- 1013411263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 82740 (CT)
- Practice address
- 1665 Ellington Rd
South Windsor, CT 06074-2778 - Phone
- (860) 648-2447
- Fax
- (860) 644-0874
- NPI assigned
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3 Farm Glen Blvd
Farmington, CT 06032-1981
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220103000613 | NY | Practitioner - Pediatric Medicine | 5991049090 | Reassigns benefits to 2 organizations |
| I20251121004153 | CT | Practitioner - Pediatric Medicine | 5991049090 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82740 | CT | MD | Pediatrics Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current |
Accepting new patients | |
| Bronxcare Health System | Pediatrics | Current |
Accepting new patients |
| Physician Affiliate Group of New York PC | Current |
Accepting new patients | |
| Prohealth Physicians PC | Pediatrics | Current |
Accepting new patients |
| South Windsor Pediatrics, LLC | Past |
Accepting new patients |
Locations
515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176
1665 Ellington Rd
South Windsor, CT 06074
Phone (860) 648-2447
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
1276 Fulton Ave
Rm 219
Bronx, NY 10456
1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- zchweich3651376@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 82740 | CT | Yes |
Addresses
Primary practice location
1665 Ellington Rd
South Windsor, CT 06074-2778
Mailing address
1665 Ellington Rd
South Windsor, CT 06074-2778
Phone (860) 648-2447
Other providers in South Windsor, CT
- Wing Cheung
- Okechukwu C Chidiadi
- Dayna Chinsky
- Jack M. Chinsky
- Christa Madden MSW LCSW LLC
- Abigail Coromoto Cipriani Amador
- Jayme Marie Clark
- Clearview Therapy, LLC.
- Climb Innovations LLC
- Climb Medical Group LLC
All providers in South Windsor, CT · Pediatrics Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.