Active NPI
Warren A Andiman, MD
- Pediatric Infectious Diseases Physician
- New Haven, CT
National Provider Identifier
1376526509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 016326
- Practice address
- 20 York St
Yale-New Haven Children's Hospital - West Pavilion 2ND
New Haven, CT 06510-3220 - Phone
- (203) 785-4081
- Fax
- (203) 785-3833
- NPI assigned
- Nov 22, 2005
- Last updated
- Feb 20, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 016326 | CT | Primary |
Addresses
Primary practice location
20 York St
Yale-New Haven Children's Hospital - West Pavilion 2ND
New Haven, CT 06510-3220
Mailing address
300 George St
6TH Floor
New Haven, CT 06511-6624
Phone (203) 785-6610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001163260 | Medicaid | CT |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016326 | CT | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1376526509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GEORGE ST",
"address_2": "6TH FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116624",
"telephone_number": "203-785-6610",
"fax_number": "203-785-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"address_2": "YALE-NEW HAVEN CHILDREN'S HOSPITAL - WEST PAVILION 2ND",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-785-4081",
"fax_number": "203-785-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDIMAN",
"first_name": "WARREN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CT",
"license": "016326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001163260",
"state": "CT"
}
],
"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 Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.