Individual provider Active NPI

Monika M Rejnin, PA-C

  • Surgical Physician Assistant
  • Manchester, CT
National Provider Identifier
1619126190
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
002157 Issued in CT
Practice address
360 Tolland Tpke Ste 1a
Manchester, CT 06042-1759
Phone
(844) 482-7285
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 002157 CT Primary

Addresses

Primary practice location

360 Tolland Tpke Ste 1a
Manchester, CT 06042-1759

Mailing address

29 Haynes St
Suite D
Manchester, CT 06040-4139
Phone (860) 533-6551

Other practice location 1

29 Haynes St
Suite D
Manchester, CT 06040-4139
Phone (860) 533-6551

Other identifiers 1

IdentifierTypeStateIssuer
1082975OtherCTNCCPA

Other names 1

  • Monika M Zelazny Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081231000371 CT Practitioner - Physician Assistant 4284796160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians

Practice addresses (Care Compare)

360 Tolland Tpke
Suite 1a
Manchester, CT 06042-1759
Phone (860) 533-6551

495 Hawley LN
Suite 2a
Stratford, CT 06614-1597
Phone (203) 210-6340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrejnin@vascularexperts.directbygreenway.com
  • Direct secure messaging: monika.rejnin.1@32135.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1619126190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HAYNES ST",
            "address_2": "SUITE D",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404139",
            "telephone_number": "860-533-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOLLAND TPKE STE 1A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421759",
            "telephone_number": "844-482-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Haynes St",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060404139",
            "country_code": "US",
            "telephone_number": "860-533-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REJNIN",
        "first_name": "MONIKA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "002157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1082975",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIKA",
            "last_name": "ZELAZNY",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.