YALE NEW HAVEN HOSPITAL (NPI# 1104955913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104955913 |
| Entity Type | Organization |
| Organization Name | YALE NEW HAVEN HOSPITAL |
| Practice Address |
20 York St New Haven CT 06510-3220 |
| Mailing Address |
650 Durham Rd Guilford CT 06437-2058 |
| Practice Telephone | 2036889335 |
| Mailing Telephone | 2034534734 |
| Mailing Fax Number | 2033156728 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | MS. MARY JANE GALVIN (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 2033157976 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
000727 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | DEA | MGO741466 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1477178127 | Yale New Haven Hospital | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2020-06-09 |
| 1396121596 | Yale New Haven Hospital | General Acute Care Hospital | 20 York St, New Haven, CT 06510-3220 | 2015-08-11 |
| 1073920898 | Yale New Haven Hospital | General Acute Care Hospital | 184 Liberty St, New Haven, CT 06519-1625 | 2014-07-14 |
| 1073947065 | Yale New Haven Hospital | Psychiatric Hospital | 1450 Chapel St, New Haven, CT 06511-4405 | 2013-08-26 |
| 1568895571 | Yale New Haven Hospital | Psychiatric Hospital | 1450 Chapel St, Children's Day Hospital - Private One, New Haven, CT 06511-4405 | 2013-08-13 |
| 1023459468 | Yale New Haven Hospital | Psychiatric Hospital | 1294 Chapel St, New Haven, CT 06511-4515 | 2013-07-15 |
| 1205275435 | Yale New Haven Hospital | General Acute Care Hospital | 20 York St, #t-209 Yale New Haven Hosptial, New Haven, CT 06510-3220 | 2013-06-20 |
| 1104175488 | Yale New Haven Hospital | General Acute Care Hospital | 1 Park St, New Haven, CT 06504-8901 | 2012-09-03 |
| 1568760478 | Yale New Haven Hospital | General Acute Care Hospital | 20 York St, New Haven, CT 06510-3220 | 2011-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YALE NEW HAVEN HOSPITAL, INC. | 20 York St, New Haven, CT 06511-3220 |
| Street Address |
20 YORK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547042 | Kimberly C Irwin | Specialist | 20 York St, New Haven, CT 06510-3220 | 2005-06-09 |
| 1225639644 | Lauren Marie Astorino | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-11-03 |
| 1598365215 | Apphia Rose Harris | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-30 |
| 1861091365 | Melissa Todice | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-26 |
| 1528665213 | Rebecca Dorothy Harrison | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-06 |
| 1467068551 | Marissa Meegan Sanca | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-23 |
| 1093321234 | Oksana Petsukh | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-09-22 |
| 1841806114 | Madiha Shah | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-09-21 |
| 1053926303 | Tanyeri Barak | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-09-14 |
| 1548875776 | Lisa Wrubel | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1437659091 | Tree of Life Primary Care and Recovery LLC | Clinic/Center | 129 Church St Ste 417, New Haven, CT 06510-2052 | 2018-02-20 |
| 1508161720 | Cornell Scott Hill Health Corporation | Clinic/Center | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519-1233 | 2011-01-19 |
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| 1447858394 | Effective Healthcare Medical P.C. | Clinic/Center | 445 Beaver Street, Apta8, Ansonia, CT 06401 | 2020-10-13 |
| 1114537578 | Charter Oak Health Center, Inc | Clinic/Center | 32 Grand St, Hartford, CT 06106-4658 | 2020-07-31 |
| 1639571821 | Soul Winning Mission Association Inc. | Clinic/Center | 180 Poquonock Ave, Windsor, CT 06095-2429 | 2014-09-19 |
| 1104245794 | Cll Health Care Clinic, LLC | Clinic/Center | 527 W Thames St, Unit 23, Norwich, CT 06360-7153 | 2014-04-10 |
| 1700133527 | City of Hartford | Clinic/Center | 131 Coventry St., Hartford, CT 06112-1548 | 2012-08-10 |
| 1417143504 | Pomperaug District Department of Health | Clinic/Center | 77 Main St N Ste 205, Southbury, CT 06488 | 2007-09-21 |
| 1871626846 | Milford Council On Aging | Clinic/Center | 9 Jepson Drive, Milford, CT 06460 | 2007-03-13 |
| 1467722538 | Walgreens | Clinic/Center | 157 Main St, East Haven, CT 06512-2525 | 2012-01-06 |
| 1548293343 | Danbury Hospital | Clinic/Center | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-07-08 |
| 1588638688 | Masonicare Health Center | Clinic/Center | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.