Active NPI
Dominik Rosa
- Anesthesiology Physician
- New Haven, CT
National Provider Identifier
1346495207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 250950
- Practice address
- Yale-New Haven Hospital
20 York Street
New Haven, CT 06510-3202 - Phone
- (203) 785-2802
- Fax
- (203) 785-6664
- NPI assigned
- Nov 19, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 250950 | NY | Primary |
Addresses
Primary practice location
Yale-New Haven Hospital
20 York Street
New Haven, CT 06510-3202
Mailing address
Dept of Anesthesiology
333 Cedar Street TMP 3
New Haven, CT 06515
Phone (203) 785-2802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1346495207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT OF ANESTHESIOLOGY",
"address_2": "333 CEDAR STREET TMP 3",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06515",
"telephone_number": "203-785-2802",
"fax_number": "203-785-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YALE-NEW HAVEN HOSPITAL",
"address_2": "20 YORK STREET",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103202",
"telephone_number": "203-785-2802",
"fax_number": "203-785-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "DOMINIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "250950",
"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 Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.