Individual provider Active NPI

Shoshana Zax, R.N.

  • Specialist
  • Hamden, CT
National Provider Identifier
1841229622
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E47317 Issued in CT
Practice address
60 Washington Ave
Suite 201
Hamden, CT 06518-3271
Phone
(203) 230-2939
Fax
(203) 287-1845
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E47317 CT Primary
Advanced Practice Midwife 367A00000X 000016 CT

Addresses

Primary practice location

60 Washington Ave
Suite 201
Hamden, CT 06518-3271

Mailing address

60 Washington Ave
Suite 201
Hamden, CT 06518-3271
Phone (203) 230-2939

Other identifiers 1

IdentifierTypeStateIssuer
004183406MedicaidCT

Other names 1

  • Shoshana Zax Professional name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000447 CT Practitioner - Certified Nurse Midwife (CNM) 3779765599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Yale University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

60 Washington Ave
201 Comprehensive Gynecology of CT
Hamden, CT 06518-3273
Phone (203) 230-2939

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
000016CTMDAcupuncturist
E47317CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Advanced Practice Midwife CurrentSince Feb 1, 2016 Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

60 Washington Ave
Ste 201
Hamden, CT 06518
Phone (203) 230-2939

Interoperability endpoints

  • Direct secure messaging: shoshana.zax.1@10170.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1841229622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WASHINGTON AVE",
            "address_2": "SUITE 201",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183271",
            "telephone_number": "203-230-2939",
            "fax_number": "203-287-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WASHINGTON AVE",
            "address_2": "SUITE 201",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183271",
            "telephone_number": "203-230-2939",
            "fax_number": "203-287-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAX",
        "first_name": "SHOSHANA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "E47317",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004183406",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOSHANA",
            "last_name": "ZAX",
            "credential": "LNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.