Active NPI
Carole M Presnick, M.D.
- Obstetrics & Gynecology Physician
- Bridgeport, CT
National Provider Identifier
1528027778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 026101
- Practice address
- 46 Albion St
Bridgeport, CT 06605-2602 - Phone
- (203) 330-6000
- Fax
- (203) 330-6008
- NPI assigned
- Mar 17, 2006
- 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 | 026101 | CT | Primary |
Addresses
Primary practice location
46 Albion St
Bridgeport, CT 06605-2602
Mailing address
46 Albion Street
Bridgeport, CT 06605-2602
Phone (203) 330-6000
Other practice location 1
968 Fairfield Ave
Bridgeport, CT 06605-1116
Phone (203) 330-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001261015 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026101 | CT | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- carole.presnick@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528027778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ALBION STREET",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066052602",
"telephone_number": "203-330-6000",
"fax_number": "203-330-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 ALBION ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066052602",
"telephone_number": "203-330-6000",
"fax_number": "203-330-6008"
}
],
"practiceLocations": [
{
"address_1": "968 Fairfield Ave",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066051116",
"country_code": "US",
"telephone_number": "203-330-6000",
"fax_number": "203-382-9425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESNICK",
"first_name": "CAROLE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "026101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001261015",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.