Individual provider Active NPI

Jaclyn Marie Munoz, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Norwalk, CT
National Provider Identifier
1063932341
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
76027 Issued in CT
Practice address
148 East Ave Ste 2L
Norwalk, CT 06851-5727
Phone
(203) 276-4524
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 76027 CT Primary

Addresses

Primary practice location

148 East Ave Ste 2L
Norwalk, CT 06851-5727

Mailing address

15 Old Kings Hwy
Wilton, CT 06897-3717
Phone (214) 449-3064

Other practice location 1

292 Long Ridge Rd Ste 202
Stamford, CT 06902-1627
Phone (203) 276-4524

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
I20240722000354 CT Practitioner - Obstetrics/Gynecology 9133665672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

148 E Ave
Norwalk, CT 06851-5721
Phone (203) 276-4850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76027CTMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 19, 2024 Accepting new patients
Stamford Hospital Past Accepting new patients

Locations

148 East Ave
Ste 2L
Norwalk, CT 06851
Phone (203) 846-8885

148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886

292 Long Ridge Rd
Stamford, CT 06902
Phone (203) 276-5509

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

292 Long Ridge Rd
#202
Stamford, CT 06902
Phone (203) 276-4524

292 Long Ridge Rd
Ste 202
Stamford, CT 06902
Phone (203) 276-4524

Interoperability endpoints

  • Direct secure messaging: jmunoz28094@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1063932341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD KINGS HWY",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973717",
            "telephone_number": "214-449-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 2L",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515727",
            "telephone_number": "203-276-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Long Ridge Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069021627",
            "country_code": "US",
            "telephone_number": "203-276-4524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CT",
            "license": "76027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.