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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CORYNN ROSE DZIEZYNSKI PA-C
NPI 1043990039
Physician Assistant - Surgical in Norwalk, CT

Active since July 24, 2023PECOS Enrolled
34 MAPLE ST, NORWALK, CT 06850(203) 852-2000 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Dec 16, 2024, Jul 24, 2023 (3 updates tracked since 2023).

About Corynn Rose Dziezynski Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORYNN ROSE DZIEZYNSKI PA-C (NPI 1043990039) is an individual surgical provider in Norwalk, Connecticut, licensed in Connecticut (6783) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albany Medical College Of Union University (2023).

NPPES Registry Identity

NPI1043990039
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCORYNN ROSE DZIEZYNSKICredential: PA-C
Location Address34 MAPLE STNorwalk, CT 06850-3894
Mailing Address34 Maple StNorwalk, CT 06850-3894 · (203) 852-2000
Phone(203) 852-2000
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2023
Enumeration DateJuly 24, 2023
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1043990039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 6783
34 MAPLE ST, Norwalk, CT 06850
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 Seaside AveMilford, CT 06460-4603 · Phone (203) 876-4000
Location 2267 Grant StBridgeport, CT 06610-2870 · Phone (203) 384-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corynn Rose Dziezynski Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446789903
PECOS Enrollment IDI20250128004612
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DLEAH VAIYASHA EPPS PA-C
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
DR. TIMOTHY DANIEL SHUB MD
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
KELLY NELSON
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2501
MADISON DUVAL HOBBS PA
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
JILL BIANCA WATRAS M.D.
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (703) 867-6793
SIMA EL-AYOUB
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2188
DR. CHRISTOPHER TYLER BATISTA PHARMD
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2684
MRS. NAUREEN KHAN M.D
Student in an Organized Health Care Education/Training Program
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corynn Dziezynski's NPI number?

The NPI number for Corynn Dziezynski is 1043990039. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Corynn Dziezynski located?

Corynn Dziezynski practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (203) 852-2000.

What is Corynn Dziezynski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Corynn Dziezynski enrolled in Medicare?

Yes. Corynn Dziezynski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Corynn Dziezynski was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.