Active NPIIndividual provider

Jenny Temnogorod, MD

Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in Waterford, Connecticut

NPI Number1558621243
Practice location
741 Broad Street Ext, Waterford, CT 06385-1347
Fax
860-444-7778
Last updated
January 25, 2022

Jenny Temnogorod is an Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery based in Waterford, CT. Jenny Temnogorod practices in Waterford, CT and has the professional credentials of MD. The NPI Number for Jenny Temnogorod is 1558621243 and holds a License No. MD457290 (PA). The current practice location address for Jenny Temnogorod is 741 Broad Street Ext, Waterford, CT 06385-1347 and can be reached out via phone at 860-442-5663 and via fax at 860-444-7778.

Provider Profile Details

NPI Number
1558621243
Provider Name
Jenny Temnogorod
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
741 Broad Street Ext, Waterford, CT 06385-1347
Phone Number
860-442-5663
Fax Number
860-444-7778
Sole Proprietor
No
Other Names
-- Yewgenia Temnogorod (Former Name)
Provider Enumeration Date
May 29, 2012
Last Update Date
January 25, 2022
Certification Date
January 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
741 Broad Street Ext
Waterford, CT 06385-1347
Zip
06385-1347
Phone Number
860-442-5663
Fax Number
860-444-7778
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
741 Broad Street Ext
Waterford, CT 06385-1347
City
Waterford
State
CT
Zip
06385-1347
Phone Number
860-442-5663
Fax Number
860-444-7778

License Information

License Number (1)
MD457290
License State (1)
PA
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (3)
56502
License State (3)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenny Temnogorod, MD?

The NPI number of Jenny Temnogorod, MD is 1558621243. It was assigned on May 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Jenny Temnogorod, MD?

Jenny Temnogorod, MD is registered under the primary taxonomy Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (code 207WX0200X), licensed in PA under license number MD457290.

Where does Jenny Temnogorod, MD practice?

The practice location is 741 Broad Street Ext, Waterford, CT 06385-1347. The office can be reached at 860-442-5663 (phone) or 860-444-7778 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558621243 directly on the NPPES registry website.

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