Individual provider Active NPI

Corinne E De Cholnoky, M.D.

  • Obstetrics & Gynecology Physician
  • Stamford, CT
National Provider Identifier
1740384379
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
025249 Issued in CT
Practice address
166 W Broad St
Suite 201
Stamford, CT 06902-3661
Phone
(203) 325-9710
Fax
(203) 325-0176
NPI assigned
Sep 12, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 025249 CT Primary
Obstetrics & Gynecology Physician 207V00000X 0101032332 VA
Obstetrics & Gynecology Physician 207V00000X D0025131 MD

Addresses

Primary practice location

166 W Broad St
Suite 201
Stamford, CT 06902-3661

Mailing address

166 W Broad St
Suite 201
Stamford, CT 06902-3661
Phone (203) 325-9710

Other identifiers 10

IdentifierTypeStateIssuer
160000738MedicaidCT
025249OtherCTCONNECTICARE
061325219OtherCTUNITED HEALTHCARE
061325219OtherCTPHCS INSURANCE
2V5971OtherCTHEALTHNET
061325219OtherCTCIGNA
2080384OtherCTAETNA INSURANCE
ZS008OtherCTOXFORD
010025249CT01OtherCTANTHEM BLUE CROSSBLUE SHI
061325219OtherCTGREAT WEST INSURANCE

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
I20101025000385 CT Practitioner - Obstetrics/Gynecology 7315130127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 W Main St
Suite 125
Stamford, CT 06902-4543

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025249CTMDObstetrics & Gynecology Physician
D0025131MDMDObstetrics & Gynecology Physician
0101032332VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Professional Associates PC Obstetrics & Gynecology CurrentSince Oct 10, 1986 Accepting new patients

Locations

166 W Broad St
Ste 201
Stamford, CT 06902
Phone (203) 325-9710

2001 W Main St
Ste 125
Stamford, CT 06902
Phone (203) 253-9885

Interoperability endpoints

  • Direct secure messaging: cdecholnoky41656@direct.ynhh.org

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

Hospital & facility affiliations 6

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1740384379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W BROAD ST",
            "address_2": "SUITE 201",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023661",
            "telephone_number": "203-325-9710",
            "fax_number": "203-325-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W BROAD ST",
            "address_2": "SUITE 201",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023661",
            "telephone_number": "203-325-9710",
            "fax_number": "203-325-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CHOLNOKY",
        "first_name": "CORINNE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "025249",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101032332",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0025131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160000738",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "025249",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "061325219",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS INSURANCE",
            "identifier": "061325219",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V5971",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "061325219",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "2080384",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ZS008",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSSBLUE SHI",
            "identifier": "010025249CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST INSURANCE",
            "identifier": "061325219",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.