Active NPI
Juliet Aaferemwin Yirerong, M.D.
- Cardiovascular Disease Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 69396
- Practice address
- 439 Mill Hill Ave
Bridgeport, CT 06610-2866 - Phone
- (203) 334-2100
- Fax
- (203) 333-5864
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP03799 | RI | |
| Cardiovascular Disease Physician | 207RC0000X | 69396 | CT | Primary |
Addresses
Primary practice location
439 Mill Hill Ave
Bridgeport, CT 06610-2866
Mailing address
111 Brewster St
Pawtucket, RI 02860-4474
Phone (401) 729-2258
Other practice location 1
111 Brewster St
Pawtucket, RI 02860-4474
Phone (401) 729-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
439 Mill Hill Ave
Bridgeport, CT 06610-2866
Phone (203) 334-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69396 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Current | Accepting new patients | |
| Advanced Cardiovascular Specialists PC | Cardiovascular Disease | Current | Accepting new patients |
| Bridgeport Hospital | Current | Accepting new patients |
Locations
439 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 334-2100
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
Interoperability endpoints
- jyirerong577132@direct.ynhh.org
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.
-
- Cardiovascular Disease Physician
- Bridgeport, CT
- NPI 1902957970
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- 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": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1043663826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604474",
"telephone_number": "401-729-2258",
"fax_number": "401-729-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 MILL HILL AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102866",
"telephone_number": "203-334-2100",
"fax_number": "203-333-5864"
}
],
"practiceLocations": [
{
"address_1": "111 Brewster St",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604474",
"country_code": "US",
"telephone_number": "401-729-2258",
"fax_number": "401-729-3343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIRERONG",
"first_name": "JULIET",
"middle_name": "AAFEREMWIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP03799",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "69396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.