Active NPI
John Edward Dailinger, PA
- Physician Assistant
- New Haven, CT
National Provider Identifier
1346282639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000506
- Practice address
- 55 Lock Street
New Haven, CT 06520-8237 - Phone
- (203) 432-0076
- Fax
- (203) 432-7289
- NPI assigned
- Jun 12, 2006
- Last updated
- Apr 27, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000506 | CT | Primary |
Addresses
Primary practice location
55 Lock Street
New Haven, CT 06520-8237
Mailing address
PO Box 208237
55 Lock Street
New Haven, CT 06520-8237
Phone (203) 432-0076
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 |
|---|---|---|---|
| 000506 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1346282639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208237",
"address_2": "55 LOCK STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208237",
"telephone_number": "203-432-0076",
"fax_number": "203-432-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LOCK STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208237",
"telephone_number": "203-432-0076",
"fax_number": "203-432-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILINGER",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.