Active NPI
Janet Prisca Djentuh, CNM
- Advanced Practice Midwife
- Norwalk, CT
National Provider Identifier
1194796870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000254
- Practice address
- 121 Water St
Norwalk, CT 06854-3013 - Phone
- (203) 899-1770
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000254 | CT | Primary |
Addresses
Primary practice location
121 Water St
Norwalk, CT 06854-3013
Mailing address
24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2353
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004239647 | Medicaid | CT | |
| 2V2653 | Other | CT | HEALTHN ET |
| 400000254CT01 | Other | CT | ANTHEM B/C |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809000507 | CT | Practitioner - Certified Nurse Midwife (CNM) | 1658404892 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000254 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| Norwalk Community Health Center Inc | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
38 East Ave
New Canaan, CT 06840
Phone (203) 594-9520
30 Stevens St
Norwalk, CT 06850
Phone (203) 852-2262
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDGCD
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Health Service Clinic/Center
- Norwalk, CT
- NPI 1841226347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1194796870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 STEVENS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503852",
"telephone_number": "203-852-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WATER ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068543013",
"telephone_number": "203-899-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DJENTUH",
"first_name": "JANET",
"middle_name": "PRISCA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004239647",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHN ET",
"identifier": "2V2653",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM B/C",
"identifier": "400000254CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.