New Haven Walk in Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

034112 Issued in CT

Legal business name

NEW HAVEN WALK IN MEDICAL CENTER

Practice address

77 Grand Ave
New Haven, CT 06513-3906

Phone

(203) 562-8697

Fax

(203) 562-1822

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mallick Qaiser AlamNPI 1467529271

Title

Physician in Charge

Phone

(203) 562-8697

Specialties & licenses 2

Addresses

Other names 1

• New Haven Walk In Medical Center LLC Other name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Mallick Qaiser Alam, MD

  • General Practice Physician
  • New Haven, CT
  • NPI 1467529271

  CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285837401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133906",
            "telephone_number": "203-562-8697",
            "fax_number": "203-562-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133906",
            "telephone_number": "203-562-8697",
            "fax_number": "203-562-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN WALK IN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "MALLICK",
        "authorized_official_middle_name": "QAISER",
        "authorized_official_title_or_position": "PHYSICIAN IN CHARGE",
        "authorized_official_telephone_number": "203-562-8697"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "034112",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "034112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Haven Walk In Medical Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• New Haven Public Schools
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• Mary Newell, PSYD
• Newhavendental LLC
• Sidnei Alesa Newman, MD
• Desiree Newton, LPN

• All providers in New Haven, CT
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.