Active NPI
Linda M Nedell, PA
- Surgical Physician Assistant
- New Haven, CT
National Provider Identifier
1114075116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 010024
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-2430
- NPI assigned
- Jan 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 010024 | NY | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
209 E 81St St
2D
New York, NY 10028-2655
Phone (917) 923-2627
Other practice location 1
Valhalla Campus
Valhalla, NY 10595
Phone (914) 493-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | linda.nedell@ynhh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010024 | NY | MD | Surgical Physician Assistant |
Interoperability endpoints
- lnedell75334@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1114075116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E 81ST ST",
"address_2": "2D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282655",
"telephone_number": "917-923-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-2430"
}
],
"practiceLocations": [
{
"address_1": "Valhalla Campus",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "10595",
"country_code": "US",
"telephone_number": "914-493-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEDELL",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "010024",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "linda.nedell@ynhh.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "20 York St",
"city": "New Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065103220",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.