Individual provider Active NPI

Daniel Haddad, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New Haven, CT
National Provider Identifier
1447608179
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
67543 Issued in CT
Practice address
333 Cedar Street, TMP 3
Ynhh - Dept Anesthesiology
New Haven, CT 06520-8051
Phone
(203) 785-2802
NPI assigned
Jun 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X 67543 CT Primary

Addresses

Primary practice location

333 Cedar Street, TMP 3
Ynhh - Dept Anesthesiology
New Haven, CT 06520-8051

Mailing address

333 Cedar Street, TMP 3
Ynhh - Dept Anesthesiology
New Haven, CT 06520-8051
Phone (203) 785-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803000968 CT Order and Referring Only - AnesthesiologyPractitioner - AnesthesiologyPractitioner - Pain Management 6608160304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1447608179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR STREET, TMP 3",
            "address_2": "YNHH - DEPT ANESTHESIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208051",
            "telephone_number": "203-785-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR STREET, TMP 3",
            "address_2": "YNHH - DEPT ANESTHESIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208051",
            "telephone_number": "203-785-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": "67543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.