COASTAL OBSTETRICS AND GYNECOLOGY PC
NPI 1679842611
Obstetrics & Gynecology in Stamford, CT

Active since December 20, 2011CLIA 07D0863749 · Microscopy
999 SUMMER ST STE 401, STAMFORD, CT 06905(203) 353-9099(203) 353-9699 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 25, 2017, Jul 6, 2017 (3 updates tracked since 2017).

About Coastal Obstetrics And Gynecology Pc NPPES

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

COASTAL OBSTETRICS AND GYNECOLOGY PC (NPI 1679842611), doing business as Coastal Obstetrics '&' Gynecology, is a healthcare organization registered as an obstetrics & gynecology in Stamford, Connecticut and active in the NPI registry since December 2011. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Robert J Gennaro, President, as its authorized official.

NPPES Registry Identity

NPI1679842611
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCOASTAL OBSTETRICS AND GYNECOLOGY PC
Location Address999 SUMMER ST STE 401Stamford, CT 06905-5513
Mailing Address999 Summer St Ste 401Stamford, CT 06905-5513 · (203) 353-9099 · Fax (203) 353-9699
Fax(203) 353-9699
Organization SubpartNo
Authorized OfficialRobert J GennaroPresident · (203) 353-9099
Enumeration DateDecember 20, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1679842611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialistTaxonomy 174400000X · License 028989 (CT)
999 SUMMER ST STE 401, Stamford, CT 06905

Other Names 1

Former Legal Business NameCoastal Obstetrics '&' Gynecology

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Obstetrics And Gynecology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20120815000456Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Coastal Obstetrics And Gynecology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Obstetrics/Gynecology
NPI 1245611441
999 SUMMER ST STE 401
Stamford, CT 06905
(518) 598-2274
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1134229909
999 SUMMER ST SUITE 401
Stamford, CT 06905
(203) 353-9099
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1083853550
1275 SUMMER ST
Stamford, CT 06905
(203) 353-9099
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1538267356
1275 SUMMER ST SUITE A2
Stamford, CT 06905
(203) 353-9099
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1669578175
30 SHELBURNE RD OBGYN ASSOCIATES, PC
Stamford, CT 06902
(203) 276-7060
✔ PECOS✔ Accepts Medicare0.8 mi
Obstetrics/Gynecology
NPI 1447341227
2800 MAIN ST LEVEL 5
Bridgeport, CT 06606
(203) 576-6201
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 07D0863749

Coastal Obstetrics And Gynecology, PC · Stamford, CT
Active · expires Aug 31, 2028
CLIA Number07D0863749
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorRobert J. Gennaro
Laboratory Phone(203) 353-9099
Laboratory LocationCoastal Obstetrics And Gynecology, PC999 Summer St Ste 401, Stamford, CT 06905
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.

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 Coastal Obstetrics And Gynecology PC's NPI number?

The NPI number for Coastal Obstetrics And Gynecology PC is 1679842611. It was assigned to this organization in the NPPES registry on December 20, 2011. The provider was formerly known as Coastal Obstetrics '&' Gynecology.

Where is Coastal Obstetrics And Gynecology PC located?

Coastal Obstetrics And Gynecology PC is located at 999 Summer St Ste 401, Stamford, CT 06905. The listed phone number is (203) 353-9099.

What is Coastal Obstetrics And Gynecology PC's specialty?

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

Is Coastal Obstetrics And Gynecology PC enrolled in Medicare?

Yes. Coastal Obstetrics And Gynecology PC is registered in the Medicare PECOS enrollment system.

When is Coastal Obstetrics And Gynecology PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coastal Obstetrics And Gynecology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Coastal Obstetrics And Gynecology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coastal Obstetrics And Gynecology PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0863749) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Obstetrics And Gynecology PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Coastal Obstetrics And Gynecology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Obstetrics And Gynecology PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.