LISSA SUGENG


Address: 135 College St Fl 3, Suite 301, New Haven, CT 06510-2483
Phone: 2037856460

LISSA SUGENG (NPI# 1306909825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306909825
Entity Type Individual
Full Name LISSA SUGENG
Credential MD, MPH
Practice Address 135 College St Fl 3
Suite 301
New Haven
CT 06510-2483
Mailing Address P.o. Box 208017
Yale School of Medicine, Section of Cardiology
New Haven
CT 06520-8017
Practice Telephone 2037856460
Mailing Telephone 2037852469
Enumeration Date 2006-12-18
Last Update Date 2010-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036098586 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036098586 05

Office Location

Street Address 135 COLLEGE ST FL 3
SUITE 301
City NEW HAVEN
State CT
Zip Code 06510-2483

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457732703 Louis Fazen Preventive Medicine 135 College St Fl 3, New Haven, CT 06510-2483 2015-06-12

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427311711 Qurat-ul-ain Jelani Internal Medicine Section of Cardiovascular Medicine., Yale New Haven Hospital. 20. York Street, New Haven, CT 06510 2012-06-21
1316267883 Daniel J Friedman Internal Medicine 789 Howard Ave # Dana3, New Haven, CT 06519 2010-06-08
1780841510 Sarkis Kiramijyan Internal Medicine 789 Howard Ave Ste 300, Dana Building, Yale Cardiovascular Medicine, New Haven, CT 06519-1304 2008-05-20
1588729750 Jeffrey Moore Testani Internal Medicine 333 Cedar St., New Haven, CT 06520-8017 2006-12-27
1023023504 Tarik M Ramahi Internal Medicine 500 Prospect St, Apt 3f, New Haven, CT 06511-2124 2006-07-30
1528083607 Jonathan E Gage Internal Medicine 2 Church St S Ste 412, New Haven, CT 06519-1717 2006-07-12
1609810480 Luis R Cruz Internal Medicine 1552 Chapel St, New Haven, CT 06511-4251 2006-06-15
1700876273 Jeptha Pelham Curtis Internal Medicine 333 Cedar Street, Dana 3, New Haven, CT 06520-8017 2005-10-26
1730178591 James H Revkin Internal Medicine 135 College St, Suite 301, New Haven, CT 06510-2483 2005-10-14
1568450641 Michael S Remetz Internal Medicine 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 2005-10-12
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06510

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Dataset Information

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.

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