Active NPI
Zaneta ABA Bentsiwa Forson-Dare
- Neonatal-Perinatal Medicine Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 64010
- Practice address
- 1 Park St
New Haven, CT 06504-8901 - Phone
- (203) 785-4081
- Fax
- (203) 737-7635
- NPI assigned
- May 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 64010 | CT | Primary |
Addresses
Primary practice location
1 Park St
New Haven, CT 06504-8901
Mailing address
15 York Street
LLC 302
New Haven, CT 06510-6925
Phone (203) 785-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| St Marys Hospital of St Marys County Inc | Past | Accepting new patients | |
| Holy Cross Health, Inc | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
Interoperability endpoints
- zforsondare337535@direct.ynhh.org
- zforsondare1980829@direct.trinity-health.org
Organizations & group practices 8
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.
-
- General Practice Physician
- Brandywine, MD
- NPI 1285064550
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1578302055
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1982050829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 YORK STREET",
"address_2": "LLC 302",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065106925",
"telephone_number": "203-785-4651",
"fax_number": "203-785-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048901",
"telephone_number": "203-785-4081",
"fax_number": "203-737-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSON-DARE",
"first_name": "ZANETA",
"middle_name": "ABA BENTSIWA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2021-09-15",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CT",
"license": "64010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.