Individual provider Active NPI

Deborah Rose Cooke, PA-C

  • Surgical Physician Assistant
  • New Haven, CT
National Provider Identifier
1063939809
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3946 Issued in CT
Practice address
1450 Chapel Street
New Haven, CT 06511-3786
Phone
(203) 415-6807
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3946 CT
Surgical Physician Assistant 363AS0400X 3946 CT Primary

Addresses

Primary practice location

1450 Chapel Street
New Haven, CT 06511-3786

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160

Other practice location 1

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-2509

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019002981 CT Practitioner - Physician Assistant 7012283989 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

235 Boston Post Rd
Orange, CT 06477-3229
Phone (203) 795-4784

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

701 N Colony Rd
Wallingford, CT 06492-2407
Phone (203) 265-1800

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-2509

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3946CTMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince May 3, 2022 Accepting new patients
Hartford Hospital CurrentSince Mar 31, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Mar 31, 2023 Accepting new patients
Yale University CurrentSince Oct 11, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 31, 2023 Accepting new patients
Northeast Medical Group, Inc CurrentSince May 3, 2022 Accepting new patients
Yale University CurrentSince Oct 11, 2019 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Mar 17, 2025 Accepting new patients
Connecticut Orthopaedic Specialists, PC Medical CurrentSince Mar 17, 2025 Accepting new patients

Locations

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

84 N Main St
Ofc
Branford, CT 06405

2416 Whitney Ave
Fl 1
Hamden, CT 06518
Phone (203) 407-3550

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

2416 Whitney Ave
Ste 1
Hamden, CT 06518

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

701 N Colony Rd
Wallingford, CT 06492
Phone (203) 265-1800

Interoperability endpoints

  • Direct secure messaging: dcooke322759@direct.ynhh.org

Organizations & group practices 28

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.

View all 28

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1063939809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL STREET",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113786",
            "telephone_number": "203-415-6807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 N Main St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053061",
            "country_code": "US",
            "telephone_number": "203-483-2509",
            "fax_number": "203-483-2513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "DEBORAH",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3946",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.