Active NPI
Debra L Pruzan, M.D.
- Specialist
- Stamford, CT
National Provider Identifier
1679575112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 031601
- Practice address
- 1290 Summer St
Suite 3600
Stamford, CT 06905-5360 - Phone
- (203) 325-3576
- Fax
- (203) 325-4280
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 031601 | CT | Primary |
Addresses
Primary practice location
1290 Summer St
Suite 3600
Stamford, CT 06905-5360
Mailing address
1290 Summer St
Suite 3600
Stamford, CT 06905-5360
Phone (203) 325-3576
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Perelman School of Med at the University of Pennsylvania, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1290 Summer St
Suite 3600
Stamford, CT 06905-5325
Phone (203) 325-3576
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 155 |
| Skin biopsy | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Specialist
- Stamford, CT
- NPI 1356343883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1679575112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SUMMER ST",
"address_2": "SUITE 3600",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055360",
"telephone_number": "203-325-3576",
"fax_number": "203-325-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 SUMMER ST",
"address_2": "SUITE 3600",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055360",
"telephone_number": "203-325-3576",
"fax_number": "203-325-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUZAN",
"first_name": "DEBRA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "031601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.