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

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment

34 MAPLE ST, NORWALK, CT 06850(203) 852-2000 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2024, Jul 24, 2023 (2 updates tracked since 2023).

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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 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 UpdateDecember 16, 20242 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ 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

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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.