Active NPI
Jana Preiningerova, MD
- Neurology Physician
- New Haven, CT
National Provider Identifier
1336121078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 041931
- Practice address
- 40 Temple St
Suite 6-C
New Haven, CT 06510-2715 - Phone
- (203) 785-4085
- Fax
- (203) 737-1597
- NPI assigned
- Nov 17, 2005
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 041931 | CT | Primary |
Addresses
Primary practice location
40 Temple St
Suite 6-C
New Haven, CT 06510-2715
Mailing address
40 Temple St
Suite 6-C
New Haven, CT 06510-2715
Phone (203) 785-4085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001419317 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Neurology | Past | Accepting new patients |
Organizations & group practices 1
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": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1336121078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TEMPLE ST",
"address_2": "SUITE 6-C",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102715",
"telephone_number": "203-785-4085",
"fax_number": "203-737-1597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TEMPLE ST",
"address_2": "SUITE 6-C",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102715",
"telephone_number": "203-785-4085",
"fax_number": "203-737-1597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREININGEROVA",
"first_name": "JANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "041931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001419317",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.