Active NPI
Marlene L. Waradzin, M.D.
- Obstetrics & Gynecology Physician
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 031062
- Practice address
- 185 Center St
Suite H
Wallingford, CT 06492-4100 - Phone
- (203) 284-1060
- Fax
- (203) 284-4981
- NPI assigned
- Aug 7, 2006
- Last updated
- Sep 28, 2011
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 031062 | CT | Primary |
Addresses
Primary practice location
185 Center St
Suite H
Wallingford, CT 06492-4100
Mailing address
185 Center St
Suite H
Wallingford, CT 06492-4100
Phone (203) 284-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001310622 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Connecticut School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center Inc
Practice addresses (Care Compare)
103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789
134 State St
Meriden, CT 06450-3293
Phone (203) 237-2229
185 Ctr St
Suite H
Wallingford, CT 06492-4100
Phone (203) 284-1060
435 Lewis Ave
Suite 212
Meriden, CT 06451-2101
Phone (203) 238-0519
455 Lewis Ave
Meriden, CT 06451-2121
Phone (203) 238-4488
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.08 of 100
- Quality
- 85.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031062 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women's Health LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Helm & Helm, P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
455 Lewis Ave
Ste 201
Meriden, CT 06451
Phone (203) 238-4488
185 Center St
Ste H
Wallingford, CT 06492
Phone (203) 284-1060
Interoperability endpoints
- marlene.waradzin.1@10170.direct.athenahealth.com
- marlene.waradzin@chcict.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1437168457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 CENTER ST",
"address_2": "SUITE H",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924100",
"telephone_number": "203-284-1060",
"fax_number": "203-284-4981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 CENTER ST",
"address_2": "SUITE H",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924100",
"telephone_number": "203-284-1060",
"fax_number": "203-284-4981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARADZIN",
"first_name": "MARLENE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "031062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001310622",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.