Individual provider Active NPI

Adam B Mayerson, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • New Haven, CT
National Provider Identifier
1457451015
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
037597 Issued in CT
Practice address
200 Orchard St
Suite #207
New Haven, CT 06511-5363
Phone
(203) 776-4444
Fax
(203) 776-4441
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 037597 CT Primary

Addresses

Primary practice location

200 Orchard St
Suite #207
New Haven, CT 06511-5363

Mailing address

200 Orchard St
Suite #207
New Haven, CT 06511-5363
Phone (203) 776-4444

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
I20100209000216 CT Practitioner - Endocrinology 7719944065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Assoc of CT LLCGroup PAC ID 0840257192, 10 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

1952 Whitney Ave
Suite 14
Hamden, CT 06517-1209
Phone (203) 776-4444

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

688 E Main St
Suite 1a
Branford, CT 06405-2971
Phone (203) 488-5885

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037597CTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Sep 12, 2012 Accepting new patients
Yale University CurrentSince Mar 18, 2010 Accepting new patients
Endocrine Assoc of CT LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2001 Accepting new patients
Yale University CurrentSince Mar 18, 2010 Accepting new patients

Locations

1952 Whitney Ave
Ste 14
Hamden, CT 06517
Phone (203) 766-4444

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: amayerson8515@direct.ynhh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1457451015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORCHARD ST",
            "address_2": "SUITE #207",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115363",
            "telephone_number": "203-776-4444",
            "fax_number": "203-776-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORCHARD ST",
            "address_2": "SUITE #207",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115363",
            "telephone_number": "203-776-4444",
            "fax_number": "203-776-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERSON",
        "first_name": "ADAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "037597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.