Individual provider Active NPI

Mona Zain, M.D.

  • Internal Medicine Physician
  • West Haven, CT
National Provider Identifier
1477652311
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039596 Issued in CT
Practice address
950 Campbell Avenue
West Haven, CT 06516-2700
Phone
(203) 937-3874
Fax
(203) 937-3428
NPI assigned
Sep 21, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039596 CT Primary

Addresses

Primary practice location

950 Campbell Avenue
West Haven, CT 06516-2700

Mailing address

950 Campbell Avenue
West Haven, CT 06516-2700
Phone (203) 937-3874

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
I20160513000558 CT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0749477685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039596CTMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477652311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVENUE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162700",
            "telephone_number": "203-937-3874",
            "fax_number": "203-937-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVENUE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162700",
            "telephone_number": "203-937-3874",
            "fax_number": "203-937-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIN",
        "first_name": "MONA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.