MILL HILL MEDICAL CONSULTANTS INC (NPI# 1891019675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891019675 |
| Entity Type | Organization |
| Organization Name | MILL HILL MEDICAL CONSULTANTS INC |
| Other Organization Name | NORTHEAST MEDICAL GROUP YNH GERIATRIC SERVICES |
| Practice Address |
874 Howard Ave New Haven CT 06519-1106 |
| Practice Telephone | 2036888200 |
| Practice Fax Number | 2036888204 |
| Mailing Telephone | 2036888200 |
| Mailing Fax Number | 2036888204 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | DR. BRUCE MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 2033843394 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MILL HILL MEDICAL CONSULTANTS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NORTHEAST MEDICAL GROUP YNH GERIATRIC SERVICES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952624769 | Mill Hill Medical Consultants Inc | Hospitalist | 20 York St, Cb 2041, New Haven, CT 06510-3220 | 2010-03-08 |
| 1841520293 | Mill Hill Medical Consultants Inc | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2010-01-07 |
| 1881607232 | Mill Hill Medical Consultants Inc | Hospitalist | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2006-08-15 |
| 1396755245 | Mill Hill Medical Consultants Inc | Internal Medicine | 55 Holly Hill Ln, Suite 240, Greenwich, CT 06830-6074 | 2006-08-09 |
| 1144230954 | Mill Hill Medical Consultants Inc | Anesthesiology | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2006-08-08 |
| 1730198573 | Mill Hill Medical Consultants Inc | Obstetrics & Gynecology | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2006-08-07 |
| 1245249549 | Mill Hill Medical Consultants Inc | Surgery | 77 Lafayette Pl, Suite 302, Greenwich, CT 06830-5426 | 2006-08-05 |
| Street Address |
874 HOWARD AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352437 | Dermot M Mcdermott | Physician Assistant | 874 Howard Ave, New Haven, CT 06519-1106 | 2005-08-02 |
| 1730667270 | Michael Riley Levien | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2018-08-06 |
| 1922463835 | Thao T Nguyen | Nurse Practitioner | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2015-12-18 |
| 1982072591 | Shannon P Kukulka | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2015-09-14 |
| 1053679431 | Alessandra Capobianco | Internal Medicine | 874 Howard Ave, Nemg - Ynh Geriatric Services, New Haven, CT 06519-1106 | 2012-04-24 |
| 1851666085 | Gregory Michael Ouellet | Internal Medicine | 874 Howard Ave, New Haven, CT 06519 | 2012-03-21 |
| 1598080384 | Hsiao-ying Chin | Internal Medicine | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2010-04-05 |
| 1043544596 | Susann Varano I | Internal Medicine | 874 Howard Ave, Basement, Room 007, New Haven, CT 06519-1106 | 2009-09-30 |
| 1164658233 | Marcia Cathleen Mecca | Internal Medicine | 874 Howard Ave, New Haven, CT 06519-1106 | 2009-06-03 |
| 1972740124 | Ronald L. Miller | Internal Medicine | 874 Howard Ave, New Haven, CT 06519-1106 | 2009-01-09 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1003113762 | Jennifer Anne Freimund | Internal Medicine | 1450 Chapel St Ste 107, New Haven, CT 06511-4405 | 2011-02-16 |
| 1477583540 | Geraldine M Fabregas | Internal Medicine | 280 Alden Ave, New Haven, CT 06515-2114 | 2006-07-04 |
| 1033119813 | Asefeh Heiat | Internal Medicine | 390 Livingston St, New Haven, CT 06511-1336 | 2005-07-22 |
| 1346623386 | Genesis Eldercare Physicians Services LLC | Internal Medicine | 1201 Daly Dr, New Haven, IN 46774-1891 | 2015-07-08 |
| 1174935209 | Moyosore Omowumi Abimboye | Internal Medicine | 20 York St, Ynhh Geriatric Medicine, New Haven, CT 06510-3220 | 2014-05-23 |
| 1184999229 | Jennifer Ouellet | Internal Medicine | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-03-21 |
| 1851666085 | Gregory Michael Ouellet | Internal Medicine | 874 Howard Ave, New Haven, CT 06519 | 2012-03-21 |
| 1598080384 | Hsiao-ying Chin | Internal Medicine | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2010-04-05 |
| 1164658233 | Marcia Cathleen Mecca | Internal Medicine | 874 Howard Ave, New Haven, CT 06519-1106 | 2009-06-03 |
| 1972740124 | Ronald L. Miller | Internal Medicine | 874 Howard Ave, New Haven, CT 06519-1106 | 2009-01-09 |
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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.