Individual provider Active NPI

Jean Guiness Henry, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Branford, CT
National Provider Identifier
1023174745
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
033820 Issued in CT
Practice address
6 Business Park Dr
Suite 304
Branford, CT 06405-2988
Phone
(203) 488-5885
Fax
(203) 488-5889
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 033820 CT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 033820 CT Primary

Addresses

Primary practice location

6 Business Park Dr
Suite 304
Branford, CT 06405-2988

Mailing address

6 Business Park Dr
Suite 304
Branford, CT 06405-2988
Phone (203) 488-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000516 CT Practitioner - EndocrinologyPractitioner - Internal Medicine 4981873668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033820CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Assoc of CT LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 7, 2011 Accepting new patients
Metabolism Associates PC PastSince Jul 28, 2001 Accepting new patients

Locations

6 Business Park Dr
Ste 304
Branford, CT 06405
Phone (203) 488-5885

1952 Whitney Ave
Ste 14
Hamden, CT 06517
Phone (203) 766-4444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1023174745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 304",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-488-5885",
            "fax_number": "203-488-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 304",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-488-5885",
            "fax_number": "203-488-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JEAN",
        "middle_name": "GUINESS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "033820",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "033820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.