Active NPI
Jean Stankaitis Zdanys, APRN
- Pediatric Nurse Practitioner
- North Haven, CT
National Provider Identifier
1427363720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 001967
- Practice address
- 17 Mansfield Rd
North Haven, CT 06473-1212 - Phone
- (203) 946-2934
- Fax
- (203) 946-7916
- NPI assigned
- Aug 11, 2010
- Last updated
- Aug 11, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 001967 | CT | Primary |
Addresses
Primary practice location
17 Mansfield Rd
North Haven, CT 06473-1212
Mailing address
54 Meadow St.
New Haven Health Department
New Haven, CT 06519-1743
Phone (203) 946-6364
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001967 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1427363720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MEADOW ST.",
"address_2": "NEW HAVEN HEALTH DEPARTMENT",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191743",
"telephone_number": "203-946-6364",
"fax_number": "203-946-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MANSFIELD RD",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064731212",
"telephone_number": "203-946-2934",
"fax_number": "203-946-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZDANYS",
"first_name": "JEAN",
"middle_name": "STANKAITIS",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "001967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.