Active NPI
Jennifer F Henkind, MD
- Pediatrics Physician
- Stamford, CT
National Provider Identifier
1801961966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 033602
- Practice address
- 1275 Summer St
Suite 301
Stamford, CT 06905-5359 - Phone
- (203) 324-4100
- Fax
- (203) 969-1271
- NPI assigned
- Nov 22, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 033602 | CT | Primary |
Addresses
Primary practice location
1275 Summer St
Suite 301
Stamford, CT 06905-5359
Mailing address
1275 Summer St
Suite 301
Stamford, CT 06905-5359
Phone (203) 324-4100
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010033602CT02 | Other | CT | BLUE CROSS-DARIEN |
| 022288 | Other | CT | HEALTHNET |
| 06-0873781 | Other | CT | HUMANA CHOICECARE |
| 10441096 | Other | CT | CAQH |
| 673756 | Other | CT | CONNECTICUTCARE |
| 06-0873781 | Other | CT | CIGNA |
| 06-0873781 | Other | CT | UNITED |
| ZP337 | Other | CT | OXFORD |
| 001336024 | Medicaid | CT | |
| 4492865 | Other | CT | AETNA |
| 010033602CT01 | Other | CT | BLUE CROSS-STAMFORD |
| 06-0873781 | Other | CT | GREAT WEST |
| 06-0873781 | Other | CT | NORTHEAST HEALTHCARE ALLI |
| 06-0873781 | Other | CT | PHCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033602 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Pediatric Associates, P.C. | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Stamford, CT
- NPI 1831183177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1801961966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 SUMMER ST",
"address_2": "SUITE 301",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055359",
"telephone_number": "203-324-4100",
"fax_number": "203-969-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SUMMER ST",
"address_2": "SUITE 301",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055359",
"telephone_number": "203-324-4100",
"fax_number": "203-969-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKIND",
"first_name": "JENNIFER",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "033602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-DARIEN",
"identifier": "010033602CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "022288",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA CHOICECARE",
"identifier": "06-0873781",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10441096",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUTCARE",
"identifier": "673756",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "06-0873781",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "06-0873781",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ZP337",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001336024",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4492865",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-STAMFORD",
"identifier": "010033602CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "06-0873781",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTHCARE ALLI",
"identifier": "06-0873781",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "06-0873781",
"state": "CT"
}
],
"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 Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.