Look up the most recent NPI and PECOS records

Mark D Rego

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Mark D Rego does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1770597593
Provider Type
Individual
Full Name
Rego, Mark D
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/28/2006
Last Updated
10/23/2013

Contact Information

Practice Location

415 Main St, West Haven, CT 06516-4296

(203) 931-1184

(203) 931-0063

Mailing Location

415 Main St, West Haven, CT 06516-4296

(203) 931-1184

(203) 931-0063

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 028293 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 001282938	Description Medicaid	Issuer Unlisted Connecticut

Mark D Rego

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Chiles, Catherine

Broad, Kathleen Louise

Behavioral Care, Integrated,Llc

Yousif, Firas Tomy

Jegede, Oluwole Olugbenga

Owen, Kim Ranell

Gelernter, Joel

Romano, Sally Dunne

Abdallah, Chadi

Vojvoda, Dolores