DR. DEREK BIEDERMAN (NPI# 1235487794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235487794 |
| Entity Type | Individual |
| Full Name | DR. DEREK BIEDERMAN |
| Credential | M.D. |
| Practice Address |
20 York Street Ynhh Interventional Radiology New Haven CT 06510-3220 |
| Mailing Address |
5501 Old York Road Levy Bldg Grd Flr Philadelphia PA 19141-3018 |
| Practice Telephone | 2036884242 |
| Mailing Telephone | 2154566200 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD465495 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Main St, Bridgeport, CT 066064201 | 8602996957 |
| Street Address |
20 YORK STREET YNHH INTERVENTIONAL RADIOLOGY |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502621 | Frans J Wackers | Radiology | 20 York Street, Y-nhh South Pavilion 2nd Fl, New Haven, CT 06510 | 2005-10-17 |
| 1750990586 | Olivia Michelle Mulla | Physician Assistant | 20 York Street, Cb-329, New Haven, CT 06510 | 2020-07-28 |
| 1861000770 | Courtney Lois Miniter | Nurse Anesthetist, Certified Registered | 20 York Street, New Haven, CT 06510-3220 | 2020-07-16 |
| 1396369245 | Andrea Ellen Para Lincoln | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-06-05 |
| 1679195275 | Paul Stockhammer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-18 |
| 1386266054 | Ayomipo Sarah Madein | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 266, New Haven, CT 06510-3220 | 2020-05-15 |
| 1437771300 | Juan Jose Silva Campos | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-13 |
| 1659993855 | Eliaz Nahum Brumer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-11 |
| 1942820477 | Long Qian | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-24 |
| 1043830649 | Eesha Vijaykumar Natarajan | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-23 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417361627 | James Gardner | Radiology | 20 York St, New Haven, CT 06510-3220 | 2014-06-16 |
| 1932490786 | Rahmat Ali | Radiology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2011-04-28 |
| 1306161054 | Tamir Friedman | Radiology | 333 Cedar St, Department of Radiology, New Haven, CT 06510-3206 | 2010-04-06 |
| 1700035292 | Yale University | Radiology | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-09-09 |
| 1619154895 | Igor Latich | Radiology | 20 York Street, T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2008-01-30 |
| 1821109539 | Hamid Reza Mojibian | Radiology | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2006-08-31 |
| 1336180926 | Hyun S Kim | Radiology | 333 Cedar St, P.o. 208042, New Haven, CT 06510-3206 | 2006-06-08 |
| 1568452969 | John E Aruny | Radiology | 20 York St, Ynhh South Pavilion - 2nd Floor, New Haven, CT 06510-3220 | 2005-10-26 |
| 1710979059 | Lee H Greenwood | Radiology | 1450 Chapel St, New Haven, CT 06511-4405 | 2005-08-22 |
| 1619969953 | Douglas D Silin | Radiology | 1450 Chapel St, New Haven, CT 06511-4405 | 2005-08-22 |
| 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.