Jennifer L Phung (NPI# 1316103542, PAC ID# 2466513908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316103542 |
| PAC ID by PECOS | 2466513908 |
| Professional Enrollment ID | I20081223000418 |
| Full Name | Jennifer L Phung |
| Organization Legal Name | NAUGATUCK VALLEY CARDIOVASCULAR ASSOCIATES |
| Address |
1625 Straits Tpke Suite 209 Middlebury CT 06762-1836 |
| Phone Number | 2037589400 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244339059 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070005 | WATERBURY HOSPITAL |
| 070016 | SAINT MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1625 Straits Tpke, Suite 209, Middlebury, CT 06762-1836 | 2037589400 | NAUGATUCK VALLEY CARDIOVASCULAR ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 87% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 76% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 3% |
| Organization Legal Name | NAUGATUCK VALLEY CARDIOVASCULAR ASSOCIATES |
| Physicians | 1 |
| Street Address |
1625 STRAITS TPKE SUITE 209 |
| City | MIDDLEBURY |
| State | CT |
| Zip | 06762-1836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan Diego Holguin | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Ilya Lim | Dermatology | Yale University | 1625 Straits Tpke, Suite 306, Middlebury, CT 06762-1836 |
| Stephanie Gunnoud | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 110, Middlebury, CT 06762-1836 |
| Jane D Cooper | Rheumatology | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 301, Middlebury, CT 06762-1836 |
| Anita L Salerno | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Scott Kurtzman | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 301, Middlebury, CT 06762-1836 |
| Amanda Elisabeth Zubek | Dermatology | Yale University | 1625 Straits Tpke, Suite 306, Middlebury, CT 06762-1836 |
| Stanley J Foster | Plastic and Reconstructive Surgery | 1625 Straits Tpke, Suite 108, Middlebury, CT 06762-1836 | |
| Peter C Greco | Neurology | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 304a, Middlebury, CT 06762-1836 |
| David Neil Podell | Rheumatology | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 301, Middlebury, CT 06762-1836 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Sirignano | Clinical Social Worker | 199 Park Rd Ext, Suite 108, Middlebury, CT 06762-1833 | |
| Michael R Guerin | Physician Assistant | Orthopaedics New England, PC | 1579 Straits Tpke E, Middlebury, CT 06762-1835 |
| Sagar M Phatak | Urology | Urology Specialists PC | 1579 Straits Tpke, 2a, Middlebury, CT 06762-1835 |
| Muneera Panjwani | Nurse Practitioner | Interventional Spine and Sports Medicine, PC | 1579 Straits Tpke, Suite 1a, Middlebury, CT 06762-1835 |
| Michael J Kaplan | Sports Medicine | Active Orthopaedics PC | 1579 Straits Tpke, Suite E, Middlebury, CT 06762-1835 |
| Gregory David Wright | Physical Therapy | Score, LLC | 1579 Straits Tpke, Middlebury, CT 06762-1835 |
| Robert E Kennon | Orthopedic Surgery | Orthopaedics New England, PC | 1579 Straits Tpke E, Middlebury, CT 06762-1835 |
| Christopher R Spagnoletti Jr. | Physical Therapy | Score, LLC | 1579 Straits Tpke, Middlebury, CT 06762-1835 |
| Lisa M Oliveira | Nurse Practitioner | Urology Specialists PC | 1579 Straits Tpke, 2a, Middlebury, CT 06762-1835 |
| W Kenneth K Miner | Physician Assistant | Active Orthopaedics PC | 1579 Straits Tpke, Suite E, Middlebury, CT 06762-1835 |
| Find all physicians in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDDLEBURY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer L Phung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.