Individual provider Active NPI

Helen Dzujna, P.A.C

  • Physician Assistant
  • Bridgeport, CT
National Provider Identifier
1659597003
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000480 Issued in CT
Practice address
4600 Main St
St..Vincents Urgent Care Center
Bridgeport, CT 06606-1839
Phone
(203) 371-4445
NPI assigned
Apr 17, 2007
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000480 CT Primary

Addresses

Primary practice location

4600 Main St
St..Vincents Urgent Care Center
Bridgeport, CT 06606-1839

Mailing address

2800 Main St
St. Vincents Multispecialty Group
Bridgeport, CT 06606-4201

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
I20120328000228 CT Practitioner - Physician Assistant 0042470163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincents Urgent Care LLCGroup PAC ID 6901119767, 43 clinicians

Practice addresses (Care Compare)

15 Armstrong Rd
Shelton, CT 06484-4706
Phone (203) 929-1109

3272 Main St
Stratford, CT 06614-4819
Phone (203) 380-3920

401 Monroe Tpke
Monroe, CT 06468-2276
Phone (203) 268-2501

7365 Main St
Suite 7
Stratford, CT 06614-1300
Phone (203) 696-3505

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
83.45
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000480CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincents Urgent Care LLC CurrentSince Jul 13, 2015 Accepting new patients
Yale University CurrentSince Feb 22, 2012 Accepting new patients
Yale University CurrentSince Feb 22, 2012 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

2720 Main St
Ste 1
Bridgeport, CT 06606

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

7365 Main St
Ste 7
Stratford, CT 06614
Phone (203) 696-3505

Interoperability endpoints

  • Direct secure messaging: helenc.dzujna@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1659597003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "ST. VINCENTS MULTISPECIALTY GROUP",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MAIN ST",
            "address_2": "ST..VINCENTS URGENT CARE CENTER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061839",
            "telephone_number": "203-371-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZUJNA",
        "first_name": "HELEN",
        "credential": "P.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.