LISSA SUGENG (NPI# 1306909825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036098586 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036098586 | 05 |
| Street Address |
135 COLLEGE ST FL 3 SUITE 301 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457732703 | Louis Fazen | Preventive Medicine | 135 College St Fl 3, New Haven, CT 06510-2483 | 2015-06-12 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| 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 | ||||
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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.