NPIMap

Organization Active NPI

Yale Hemophilia Treatment Center

  • Pediatric Hematology & Oncology Physician
  • New Haven, CT
National Provider Identifier
1295039675
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
045596 Issued in CT
Legal business name
YALE HEMOPHILIA TREATMENT CENTER
Practice address
333 Cedar Street
Department of Pediatrics , 2073 LMP
New Haven, CT 06520-8064
Phone
(203) 785-4640
Fax
(203) 785-5315
NPI assigned
Dec 29, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Patrick Gallagher, M.D.
Title
Director
Phone
(203) 688-2320

Practitioners 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2058657Yale University Histocompatibility and333 Cedar St, New Haven, CT 06520AccreditationAug 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Yale University Orthopa25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

333 Cedar St
#2073
New Haven, CT 06510
Phone (203) 785-4640

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X 045596 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

333 Cedar Street
Department of Pediatrics , 2073 LMP
New Haven, CT 06520-8064

Mailing address

333 Cedar Street
Department of Pediatrics, 2073 LMP
New Haven, CT 06520-8064
Phone (203) 785-4640

Other names 1

NPPES NPI Registry
  • Yale University Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2021.

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1295039675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR STREET",
            "address_2": "DEPARTMENT OF PEDIATRICS, 2073 LMP",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208064",
            "telephone_number": "203-785-4640",
            "fax_number": "203-785-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR STREET",
            "address_2": "DEPARTMENT OF PEDIATRICS , 2073 LMP",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208064",
            "telephone_number": "203-785-4640",
            "fax_number": "203-785-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE HEMOPHILIA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-688-2320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CT",
            "license": "045596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yale University",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yale University",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.