Jen-Hwei Cheng, CRNA , RN

Individual provider Active NPI Medical-Surgical Registered Nurse · Stamford, CT

NPI 1124155866 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124155866
Entity type
Individual (NPI type 1)
Primary specialty
Medical-Surgical Registered Nurse 163WM0705X
License
R38881 (CT)
Practice address
30 Shelburne Rd
Stamford, CT 06902-3628
Phone
(203) 276-7000
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
001345CTMDAddiction (Substance Use Disorder) Counselor
R38881CTMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gotham Medical Services Past Accepting new patients
Bridgeport Anesthesia Associates, P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X R38881 CT Yes

Addresses

Primary practice location

30 Shelburne Rd
Stamford, CT 06902-3628

Mailing address

1055 Washington Blvd
Suite 440
Stamford, CT 06901-2216
Phone (203) 348-2614

Other providers in Stamford, CT

All providers in Stamford, CT · Medical-Surgical Registered Nurse in Connecticut

Sources for this page

Verify at the official NPI Registry.