Individual provider Active NPI

Marlene L. Waradzin, M.D.

  • Obstetrics & Gynecology Physician
  • Wallingford, CT
National Provider Identifier
1437168457
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
031062 Issued in CT
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001310622MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000630 CT Practitioner - Obstetrics/Gynecology 4486821196 Reassigns benefits to 1 organization

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
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians
Community Health Center IncGroup PAC ID 0547169138, shared by 14 NPIs, 149 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
031062CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women's Health LLC Obstetrics & Gynecology CurrentSince Jul 1, 2012 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

  • Direct secure messaging: marlene.waradzin.1@10170.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.