DR. JONATHAN THOMAS PUCHALSKI (NPI# 1215909072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215909072 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN THOMAS PUCHALSKI |
| Credential | M.D. |
| Practice Address |
330 Cedar St Boardman Building Rm 205 New Haven CT 06510-3218 |
| Practice Telephone | 2036885864 |
| Mailing Telephone | 2036885864 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2010-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
047218 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
047218 | CT | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD432420 | PA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35077075 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2360761 | 05 |
| Street Address |
330 CEDAR ST BOARDMAN BUILDING RM 205 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386171361 | Rajiv Jaisimha Iyengar | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-22 |
| 1356878987 | Michelle Catherinne Salazar Marulanda | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-14 |
| 1861928715 | Grace Chao | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2017-05-11 |
| 1346772449 | Mitsutomo Yamada | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh - Eb204, New Haven, CT 06510-3218 | 2017-03-29 |
| 1528500030 | Annmarie Shabazian | Physician Assistant | 330 Cedar St, Bb205, New Haven, CT 06510-3218 | 2016-11-15 |
| 1003264854 | Matthew Shaughnessy | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh- Dept of Surgery, New Haven, CT 06510-3218 | 2016-06-01 |
| 1538517867 | Tareq Ghazi Sawan | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh, Department of Surgery, New Haven, CT 06510-3218 | 2016-05-26 |
| 1922456425 | Abedalrazaq Osama Alkukhun | Student in an Organized Health Care Education/Training Program | 330 Cedar St, Ynhh Dept of Surgery, New Haven, CT 06510-3218 | 2016-05-25 |
| 1922455732 | Sameh Yousef | Student in an Organized Health Care Education/Training Program | 330 Cedar St, 107, New Haven, CT 06510-3218 | 2016-05-22 |
| 1437506326 | Lauren Pischel | Student in an Organized Health Care Education/Training Program | 330 Cedar St, New Haven, CT 06510-3218 | 2016-05-20 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1356761290 | Issahar Ben-dov | Internal Medicine | 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 | 2014-04-18 |
| 1215143953 | Kaiser Toosy | Internal Medicine | 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 | 2007-05-16 |
| 1376918870 | Naftali Kaminski | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2015-12-09 |
| 1538477658 | Inderjit Singh | Internal Medicine | 300 Cedar Street, Tac-441 South, New Haven, CT 06519 | 2010-09-23 |
| 1487818886 | Mazen O. Al-qadi | Internal Medicine | 20 York Street, Cb-2041, New Haven, CT 06510 | 2008-07-15 |
| 1689882359 | Cardiothoracic and Vascular Group | Internal Medicine | 175 Sherman Ave, New Haven, CT 06511-4301 | 2007-05-18 |
| 1215144100 | Pulmonary Care, PC | Internal Medicine | 136 Sherman Ave, Suite#504, New Haven, CT 06511-5238 | 2007-05-17 |
| 1295856714 | Lung Associates of Connecticut, LLC | Internal Medicine | 46 Prince St, New Haven, CT 06519-1600 | 2007-04-02 |
| 1679638407 | Pulmonary Associates of Newhaven PC | Internal Medicine | 60 Temple St, 7f, New Haven, CT 06510 | 2006-12-22 |
| 1023113644 | Anuradha Ramaswamy | Internal Medicine | 789 Howard Ave, Winchester Chest Clinic 2nd Floor, New Haven, CT 06519-1304 | 2006-09-14 |
| 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.