NPIMap

Organization Active NPI

Monitor My Health, Inc.

Doing business as Monitor My Health

  • Community Health Clinic/Center
  • Bridgeport, CT
National Provider Identifier
1760968598
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MONITOR MY HEALTH, INC.
Doing business as
Monitor My Health
Practice address
1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Phone
(203) 683-5946
Fax
(203) 683-5901
NPI assigned
Jul 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Dana Paris Wade, MD
Title
Ceo
Phone
(203) 394-7311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710

Mailing address

1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Phone (203) 683-5946

Other practice location 1

354 State St Ste 4
Hackensack, NJ 07601-5530
Phone (203) 683-5946

Other names 2

  • Monitor My Health Doing business as
  • Bridging the Gap Education, Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL soleranetwork.force.com/networkpartnerportal/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL, NY, OH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20200210002730 CT MDPP Supplier - in-Person MDPP Supplier 2365878394 Practice locations: New Haven, CT
O20200423002917 FL MDPP Supplier - in-Person MDPP Supplier 2365878394 Practice locations: Orlando, FL
O20200424000929 NY MDPP Supplier - in-Person MDPP Supplier 2365878394 Practice locations: Bronx, NY; Hawthorne, NY
O20200610003364 OH MDPP Supplier - in-Person MDPP Supplier 2365878394 Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2123769Monitor My Health, Inc1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

2494 Whitney Ave
Hamden, CT 06518

157 Church St
Ste 1921
New Haven, CT 06510
Phone (475) 655-3125

157 Church St
Ste 1900
New Haven, CT 06510
Phone (800) 945-9479

43 Town Center Sq
Ste 102
Hattiesburg, MS 39402
Phone (203) 710-5519

354 State St
Ste 4
Hackensack, NJ 07601

7 Skyline Dr
Ste 350
Hawthorne, NY 10532
Phone (914) 200-3368

10320 Memory Ln
Ste B
Chesterfield, VA 23832
Phone (804) 852-4543

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1760968598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD STE 1100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044710",
            "telephone_number": "203-683-5946",
            "fax_number": "203-683-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD STE 1100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044710",
            "telephone_number": "203-683-5946",
            "fax_number": "203-683-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 State St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076015530",
            "country_code": "US",
            "telephone_number": "203-683-5946",
            "fax_number": "203-306-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONITOR MY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "PARIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-394-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "soleranetwork.force.com/networkpartnerportal/",
            "affiliation": "Y",
            "endpointDescription": "Solera Health Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Diabetes Prevention Program Participants Data",
            "address_1": "1000 Lafayette Blvd Ste 1100",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066044710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Monitor My Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridging the Gap Education, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.