Individual provider Active NPI

Mary Tomayko, MD

  • Dermatology Physician
  • New Haven, CT
National Provider Identifier
1467491548
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
042199 Issued in CT
Practice address
55 Lock Street
New Haven, CT 06520-8237
Phone
(203) 432-0076
Fax
(203) 432-7289
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 042199 CT Primary

Addresses

Primary practice location

55 Lock Street
New Haven, CT 06520-8237

Mailing address

55 Lock Street
PO Box 208237
New Haven, CT 06520-8237
Phone (203) 432-0076

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
I20070307000237 CT Practitioner - Dermatology 1456454784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians
Yale UniversityGroup PAC ID 9436061736, shared by 12 NPIs, 2,632 clinicians

Practice addresses (Care Compare)

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

55 Lock St
New Haven, CT 06511-3603
Phone (203) 432-0076

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions108
Skin biopsy110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042199CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Dermatology CurrentSince Dec 8, 2006 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Apr 29, 2022 Accepting new patients
Yale University CurrentSince Dec 8, 2006 Accepting new patients
Yale University CurrentSince Sep 9, 2011 Accepting new patients

Locations

2 Church St S
Ste 305
New Haven, CT 06519
Phone (203) 785-4445

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

150 Sargent Dr
New Haven, CT 06511
Phone (203) 781-4100

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

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

Interoperability endpoints

  • Direct secure messaging: mtomayko10129@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 5

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1467491548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LOCK STREET",
            "address_2": "PO BOX 208237",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208237",
            "telephone_number": "203-432-0076",
            "fax_number": "203-432-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LOCK STREET",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208237",
            "telephone_number": "203-432-0076",
            "fax_number": "203-432-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAYKO",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "042199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.