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HER TRANSFORMATION OBGYN
NPI 1104391598
Obstetrics & Gynecology in Fairfield, CT

Active since October 11, 2018CLIA 07D2156611 · Microscopy
2228 BLACK ROCK TPKE STE 211, FAIRFIELD, CT 06825(475) 888-0099 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2019, Oct 11, 2018 (2 updates tracked since 2018).

About Her Transformation Obgyn NPPES

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

HER TRANSFORMATION OBGYN (NPI 1104391598) is a healthcare organization registered as an obstetrics & gynecology in Fairfield, Connecticut and active in the NPI registry since October 2018. The organization holds a CLIA Microscopy certificate valid through October 21, 2026 and lists Valentine Edusa, Founder/managing Member, as its authorized official.

NPPES Registry Identity

NPI1104391598
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameHER TRANSFORMATION OBGYN, PLLC
Location Address2228 BLACK ROCK TPKE STE 211Fairfield, CT 06825-3237
Mailing Address2228 Black Rock Tpke Ste 211Fairfield, CT 06825-3237 · (475) 888-0099 · Fax (475) 888-0106
Phone(475) 888-0099
Organization SubpartNo
Authorized OfficialValentine EdusaFounder/managing Member · (475) 888-0099
Enumeration DateOctober 11, 2018
Last NPPES UpdateMay 10, 20192 updates tracked since enumeration
✔ NPI 1104391598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2228 BLACK ROCK TPKE STE 211, Fairfield, CT 06825
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Other Names 1

Doing Business AsHer Transformation Obgyn

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D2156611

Her Transformation Obgyn, PLLC · Fairfield, CT
Active · expires Oct 21, 2026
CLIA Number07D2156611
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorValentine Edusa
Laboratory Phone(475) 888-0099
Laboratory LocationHer Transformation Obgyn, PLLC2228 Black Rock Tpke, Suite 211, Fairfield, CT 06825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. VALENTINE EDUSA MD, FACOG
Obstetrics & Gynecology
2228 BLACK ROCK TPKE STE 211
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (475) 888-0099

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 Her Transformation Obgyn, PLLC's NPI number?

The NPI number for Her Transformation Obgyn, PLLC is 1104391598. It was assigned to this organization in the NPPES registry on October 11, 2018. The provider is doing business as Her Transformation Obgyn.

Where is Her Transformation Obgyn, PLLC located?

Her Transformation Obgyn, PLLC is located at 2228 Black Rock Tpke Ste 211, Fairfield, CT 06825. The listed phone number is (475) 888-0099.

What is Her Transformation Obgyn, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Her Transformation Obgyn, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D2156611) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Her Transformation Obgyn, PLLC was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.