Individual provider Active NPI

Rut Noemi Pamphile, FNP

  • Family Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1033834353
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12384 Issued in CT
Practice address
1351 Whalley Ave
New Haven, CT 06515-1149
Phone
(203) 889-2676
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 350535 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 12384 CT Primary

Addresses

Primary practice location

1351 Whalley Ave
New Haven, CT 06515-1149

Mailing address

2435 Jerome Ave
Bronx, NY 10468-6464
Phone (718) 220-7677

Other identifiers 2

IdentifierTypeStateIssuer
12384OtherCTCONNECTICUT DEPARTMENT OF PUBLIC HEALTH
350535OtherNYOFFICE OF PROFFESIONS - NEW YORK STATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221220000642 NY Practitioner - Nurse Practitioner 7719356468 Reassigns benefits to 1 organization
I20250304001237 CT Practitioner - Nurse Practitioner 7719356468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Physician Group PLLCGroup PAC ID 7810428166, 10 clinicians

Practice addresses (Care Compare)

158 Amity Rd
Suite 280
New Haven, CT 06515-1405
Phone (203) 404-3463

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12384CTMDPhysical Therapist
350535NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Physician Group PLLC Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
Sheldon Medical Care,PC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Sherman Medical Care, PC Single Specialty Past Accepting new patients

Locations

158 Amity Rd
#280
New Haven, CT 06515
Phone (203) 404-3463

158 Amity Rd
Ste 280
New Haven, CT 06515

2000 N Main St
#A
Waterbury, CT 06704
Phone (203) 951-8306

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1033834353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686464",
            "telephone_number": "718-220-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151149",
            "telephone_number": "203-889-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPHILE",
        "first_name": "RUT",
        "middle_name": "NOEMI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "12384",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF PROFFESIONS - NEW YORK STATE",
            "identifier": "350535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.