The Hospital of Saint Raphael

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

THE HOSPITAL OF SAINT RAPHAEL

Doing business as

Saint Raphael's Occupational Health Plus

Practice address

175 Sherman Ave
5TH FL.
New Haven, CT 06511-4357

Phone

(203) 789-3392

NPI assigned

Feb 8, 2012

Last updated

Feb 8, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

THE HOSPITAL OF SAINT RAPHAELAs reported in NPPES

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

Authorized official

Name

Miss Linda Pettine, R.P.T.NPI 1568677896

Title

Administrative Director

Phone

(203) 789-6079

Specialties & licenses 1

Addresses

Other names 1

• Saint Raphael's Occupational Health Plus Doing business as

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

CLIA laboratory certificates

Tax ID family

Hospital of Saint Raphael5 organizations share this tax ID, including this one

Part of

Hospital of Saint Raphael

Other organizations with this tax ID 4

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

• Garnet Emergency Physicians

  • Emergency Medicine Physician
  • New Haven, CT
  • NPI 1629022660
  NPD tax ID
• Hospital of Saint Raphael

  • Addiction (Substance Use Disorder) Counselor
  • New Haven, CT
  • NPI 1023371275
  NPD tax ID
• Hospital of St. Rahpael

  • Physical Therapy Clinic/Center
  • Branford, CT
  • NPI 1285840496
  NPD tax ID
• St Raphael's Hospital

  • Physical Therapy Clinic/Center
  • Branford, CT
  • NPI 1649488644
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda F Pettine, P.T.

  • Physical Therapist
  • New Haven, CT
  • NPI 1568677896
  Authorized official Same address or phone

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1376815274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053061",
            "telephone_number": "203-789-3666",
            "fax_number": "203-867-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SHERMAN AVE",
            "address_2": "5TH FL.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114357",
            "telephone_number": "203-789-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL OF SAINT RAPHAEL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HOSPITAL OF SAINT RAPHAEL",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "PETTINE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "203-789-6079",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Raphael's Occupational Health Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Medicine Clinic/Center in New Haven, CT
• Providers in New Haven, CT by specialty
• Occupational Medicine Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.