YALE UNIVERSITY (NPI# 1205822236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205822236 |
| Entity Type | Organization |
| Organization Name | YALE UNIVERSITY |
| Other Organization Name | YALE MEDICINE |
| Practice Address |
800 Howard Ave Yale Physicians Bldg New Haven CT 06519-1369 |
| Mailing Address |
300 George St 6th Floor New Haven CT 06511-6624 |
| Practice Telephone | 2037852140 |
| Practice Fax Number | 2037856414 |
| Mailing Telephone | 2037852140 |
| Mailing Fax Number | 2037856414 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | MR. FREDERICK BORRELLI (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2037853266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Yale Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717242 | Yale University | Clinic/Center | 367 Cedar St Bldg A, New Haven, CT 06510-3222 | 2019-12-13 |
| 1023446127 | Yale University | Chronic Disease Hospital | 333 Cedar St Fl 8, New Haven, CT 06510-3206 | 2013-10-29 |
| 1750778247 | Yale University | Clinical Medical Laboratory | 300 Cedar Street, Tac-s430, New Haven, CT 06520-8057 | 2015-04-22 |
| 1952649097 | Yale University | Radiology | 20 York St, New Haven, CT 06510-3220 | 2013-01-24 |
| 1326375486 | Yale University | Psychiatric Unit | 300 George St, Suite 901, New Haven, CT 06511-6624 | 2009-11-11 |
| 1740434877 | Yale University | General Acute Care Hospital | 310 Cedar St, 416a Lauder Hall, New Haven, CT 06510-3218 | 2008-11-17 |
| 1700035292 | Yale University | Radiology | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-09-09 |
| 1265681753 | Yale University | Anesthesiology | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-09-09 |
| 1114185063 | Yale University | Radiology | 20 York St, Yale-new Haven Hospital South Pavilion - 2nd Fl, New Haven, CT 06510-3220 | 2008-05-28 |
| 1396902342 | Yale University | Clinic/Center | 55 Lock St, New Haven, CT 06511-3603 | 2008-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YALE UNIVERSITY | 105 Wall St, New Haven, CT 06511-8917 |
| Connecticut Business Registrations | YALE UNIVERSITY | |
| Connecticut Business Registrations | YALE UNIVERSITY DRAMATIC ASSOCIATION INCORPORATED | Yale University Theatre, 222 York St, New Haven, CT 06511 |
| Connecticut Business Registrations | YALE UNIVERSITY ELIZABETHAN CLUB CORPORATION | 459 College St, New Haven, CT 06511 |
| Connecticut Business Registrations | YALE UNIVERSITY GUILD OF CARILLONNEURS INCORPORATED | C/o Ellen Dickinson, 69 Auldwood Rd, Stamford, CT 06902 |
| Colorado Business Entities | Yale University of Finance and Economics | 6547 N Academy Blvd #2266, Colorado Springs, CO 80918 |
| Connecticut Business Registrations | YALE UNIVERSITY SIGMA ALPHA EPSILON EDUCATION CORPORATION | 35 High St., New Haven, CT 06511 |
| Street Address |
800 HOWARD AVE YALE PHYSICIANS BLDG |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621419 | John P Fulkerson | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-07-01 |
| 1467068163 | Catherine Aileen Chagnon | Physical Medicine & Rehabilitation | 800 Howard Ave, New Haven, CT 06519-1369 | 2020-09-17 |
| 1508408915 | Rebecca Lynne Tallarita | Nurse Practitioner | 800 Howard Ave, New Haven, CT 06519 | 2019-10-17 |
| 1598323610 | Brianne Krawczyk | Pharmacist | 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 | 2019-06-04 |
| 1467017277 | Gabriel B Lerner | Student in an Organized Health Care Education/Training Program | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-05-07 |
| 1467915413 | Sarah Elizabeth Savoia | Physician Assistant | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-04-08 |
| 1992287577 | Brittany Cyr | Pharmacist | 800 Howard Ave, New Haven, CT 06519-1369 | 2018-08-30 |
| 1700395506 | Lauren Katherine Fagan | Audiologist | 800 Howard Ave, New Haven, CT 06519-1369 | 2017-09-25 |
| 1548784093 | Megan Frank Harari | Nurse Practitioner | 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 | 2017-07-26 |
| 1942723168 | Jamie B Freeman | Physician Assistant | 800 Howard Ave, Yale Neurosurgery, New Haven, CT 06519-1369 | 2017-07-19 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538549977 | Bryan Brown | Internal Medicine | 1450 Chapel St Fl 2, Ynhh PCc, St Raphael Campus, New Haven, CT 06511 | 2015-06-01 |
| 1013321041 | Paul Joudrey | Internal Medicine | 789 Howard Ave Bsmt, New Haven, CT 06519-1304 | 2014-06-18 |
| 1386056620 | Christopher Morton | Internal Medicine | 333 Cedar St # St105, Department of Internal Medicine, New Haven, CT 06510-3206 | 2014-05-21 |
| 1619387818 | Amy Steinmetz Korwin | Internal Medicine | Yale New Haven Hospital, Dept of Pulm/cc/sleep Medicine, 20 York Street, New Haven, CT 06510-3220 | 2014-04-28 |
| 1639500895 | Onyekachi Obi | Internal Medicine | 20 York Street, Yale New Haven Hospital, Department of Critical Care Medicine, New Haven, CT 06510-3220 | 2013-12-12 |
| 1114269305 | Ahmad Farooq | Internal Medicine | 159 Willow St, Apt 2, New Haven, CT 06511-2642 | 2013-03-26 |
| 1376885905 | Anika K. Anam | Internal Medicine | 789 Howard Ave Fl 2, New Haven, CT 06519-1304 | 2013-03-21 |
| 1679836365 | Tejas Suresh | Internal Medicine | 333 Cedar Street - Room Www 211, Ynhh - Department of Hematology-oncology, New Haven, CT 06520-8032 | 2012-06-19 |
| 1154683449 | Susanna Alton Curtis | Internal Medicine | 333 Cedar St Rm Www211, Yale School of Medicine, New Haven, CT 06510 | 2012-06-12 |
| 1720349467 | Medical Walk In Care of Westville LLC | Internal Medicine | 1351 Whalley Ave, New Haven, CT 06515-1149 | 2012-05-30 |
| 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.