YALE-NEW HAVEN HOSPITAL (NPI# 1114312469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114312469 |
| Entity Type | Organization |
| Organization Name | YALE-NEW HAVEN HOSPITAL |
| Practice Address |
789 Howard Ave Dana 2 New Haven CT 06519-1304 |
| Mailing Address |
20 York Street - Dental New Haven CT 06510-3020 |
| Practice Telephone | 2036882464 |
| Practice Fax Number | 2036881426 |
| Mailing Telephone | 2036881288 |
| Mailing Fax Number | 2036884461 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | MR. RICHARD D'AQUILLA (PRESIDENT) |
| Authorized Official Telephone | 2036882606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
0044 | CT | Dental Providers |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
0044 | CT | Ambulatory Health Care Facilities |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0044 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004011318 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700177706 | Yale-new Haven Hospital | General Acute Care Hospital | 542 George St, Apt 1, New Haven, CT 06511-5302 | 2011-04-25 |
| 1275998981 | Yale-new Haven Hospital | Durable Medical Equipment & Medical Supplies | 20 York St, New Haven, CT 06510-3220 | 2015-12-22 |
| 1144615493 | Yale-new Haven Hospital | Dentist | 2560 Dixwell Ave, Hamden, CT 06514-1851 | 2015-04-03 |
| 1790170033 | Yale-new Haven Hospital | Dentist | 1 Long Wharf Dr, Suite 403, New Haven, CT 06511-5991 | 2015-04-03 |
| 1528453883 | Yale-new Haven Hospital | Dentist | 1450 Chapel St, Oral & Maxillofacial Surgery, New Haven, CT 06511-4405 | 2015-04-03 |
| 1740518315 | Yale-new Haven Hospital | General Acute Care Hospital | 20 York St, New Haven, CT 06510-3220 | 2009-11-19 |
| 1336371889 | Yale-new Haven Hospital | General Acute Care Hospital | 310 Cedar St, Bml116c, New Haven, CT 06510-3218 | 2009-08-18 |
| 1962653287 | Yale-new Haven Hospital | Clinic/Center | 789 Howard Ave, New Haven, CT 06519-1304 | 2008-10-06 |
| 1851568828 | Yale-new Haven Hospital | Student in an Organized Health Care Education/Training Program | 20 York St # T-209, New Haven, CT 06510-3220 | 2008-05-09 |
| 1578734638 | Yale-new Haven Hospital | General Acute Care Hospital | 20 York St, Division of Neonatology, New Haven, CT 06510-3220 | 2008-03-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | YALE-NEW HAVEN HOSPITAL, INC. | 20 York St. Cb-230, New Haven, CT 06510 |
| Street Address |
789 HOWARD AVE DANA 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359752 | Rachel J Lampert | Internal Medicine | 789 Howard Ave, Dana Building -3 Rd Floor, New Haven, CT 06519-1304 | 2005-10-11 |
| 1104432996 | Elise Hettenbach | Nurse Practitioner | 789 Howard Ave, New Haven, CT 06519-1304 | 2020-09-17 |
| 1730794272 | Jennifer Colon | Pharmacist | 789 Howard Ave, New Haven, CT 06519-1300 | 2020-09-11 |
| 1184153561 | Renee Rosa Kim | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, New Haven, CT 06510 | 2017-06-08 |
| 1366971293 | Nanthiya Sujijantarat | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, New Haven, CT 06519-1304 | 2017-06-05 |
| 1033646492 | Fatimah Audu | Emergency Medicine | 789 Howard Ave, New Haven, CT 06519-1304 | 2017-05-16 |
| 1447787064 | Aaron David Bennett | Pediatrics | 789 Howard Ave, New Haven, CT 06519-1304 | 2017-05-13 |
| 1396289211 | Christopher Barrett | Dietitian, Registered | 789 Howard Ave, New Haven, CT 06519-1304 | 2016-12-12 |
| 1629427000 | Jesse Humm | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, New Haven, CT 06519-1304 | 2016-06-07 |
| 1386092153 | Zehra Omer | Student in an Organized Health Care Education/Training Program | 789 Howard Ave, Ynhh, Dept of Medicine, New Haven, CT 06519-1304 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 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 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962952606 | Lodestar Dental LLC | Dentist | 474 Foxon Blvd, New Haven, CT 06513-2329 | 2016-10-05 |
| 1487019121 | L&m Family Dentistry LLC | Dentist | 136 Sherman Ave Ste 104, New Haven, CT 06511-5210 | 2015-12-23 |
| 1457767931 | Chapel Street Dental P.C. | Dentist | 806 Chapel St, New Haven, CT 06510-3104 | 2014-07-07 |
| 1982034658 | Fair Haven Dental LLC | Dentist | 214 Grand Ave, New Haven, CT 06513-3721 | 2013-11-17 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1427320407 | Karine Calixte | Dentist | 1 Long Wharf Dr Fl 4, New Haven, CT 06511 | 2012-02-06 |
| 1235425133 | Christopher Matthew Kinslow | Dentist | 262 Grand Ave, New Haven, CT 06513-3723 | 2011-06-20 |
| 1174853956 | Smartdental LLC | Dentist | 1045 Whalley Ave, New Haven, CT 06515-1787 | 2009-12-30 |
| 1356586234 | Regina A Niekrash | Dentist | 65 Anderson St, New Haven, CT 06511-2537 | 2008-12-08 |
| 1548472970 | Monica Alvyra Slack-haynes | Dentist | 7 Kimberly Ave, New Haven, CT 06519-2411 | 2007-05-06 |
| Find all providers in NEW HAVEN | ||||
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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.