Active NPI
Yale New Haven Health Services Corporation
- Sports Medicine (Orthopaedic Surgery) Physician
- New Haven, CT
National Provider Identifier
1255229290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- YALE NEW HAVEN HEALTH SERVICES CORPORATION
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3000
- NPI assigned
- Jun 26, 2025
- Last updated
- Jun 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marna Borgstrom
- Title
- Ceo
- Phone
- (855) 547-4584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | NU | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
33 Old Tavern Rd Apt 129
Orange, CT 06477-3457
Phone (717) 753-2332
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Student in an Organized Health Care Education/Training Program
- New Haven, CT
- NPI 1639067531
Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1255229290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OLD TAVERN RD APT 129",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773457",
"telephone_number": "717-753-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YALE NEW HAVEN HEALTH SERVICES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "BORGSTROM",
"authorized_official_first_name": "MARNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "855-547-4584"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
- Yale Medical Foundation, Inc.
- Yale Medicine, P.C.
- Yale New Haven Ambulatory Services Corp (Temple Recovery Care Center)
- Yale New Haven Ambulatory Services Corp. - Temple Radiology
- Yale New Haven Health at Home, Inc. (Home Care Plus South Central Connecticut)
- Yale New Haven Hospital (The Boutique at Smilow)
- Yale New Haven Hospital
- Yale New Haven Hospital
- Yale New Haven Hospital
- Yale New Haven Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.