Active NPI
Rut Noemi Pamphile, FNP
- Family Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12384
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 350535 | NY | |
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12384 | Other | CT | CONNECTICUT DEPARTMENT OF PUBLIC HEALTH |
| 350535 | Other | NY | OFFICE OF PROFFESIONS - NEW YORK STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12384 | CT | MD | Physical Therapist |
| 350535 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Physician Group PLLC | Single Specialty | Current | Accepting new patients |
| Sheldon Medical Care,PC | Single Specialty | Current | 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.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.