Department of Veteran Affairs Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

282N00000X Issued in CT

Legal business name

DEPARTMENT OF VETERAN AFFAIRS HOSPITAL

Practice address

265 College St Apt 4B
New Haven, CT 06510-2421

Phone

(203) 932-5711

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Joseph Clow IV, MSWNPI 1023107034

Title

Social Worker

Phone

(203) 932-5711

Specialties & licenses 1

Addresses

Other names 1

• VA Hospital Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joseph Clow IV, MSW

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1023107034
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073605101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 COLLEGE ST APT 4B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102421",
            "telephone_number": "203-932-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 COLLEGE ST APT 4B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102421",
            "telephone_number": "203-932-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "203-932-5711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "282N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VA Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Elisabeth Denoble, MD, MSC
• Alexa Denton, MD
• Parimal Deodhar, M.D.
• Samantha Depalma
• Laurie Depaola, L.C.S.W.
• Raeanne Depasquale, APRN
• Andrea Elizabeth Depetris, PHD
• Linda Jean Depino, MS APRN CRNA
• Daesia Depriest
• Nada Derar, M.D.

• General Acute Care Hospital in New Haven, CT
• Providers in New Haven, CT by specialty
• General Acute Care Hospital in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.