Active NPI
Julie Dana Flom, M.D.
- Allergy & Immunology Physician
- New Haven, CT
National Provider Identifier
1548654882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 66805
- Practice address
- 1 Park St # WP2
New Haven, CT 06504-8901 - Phone
- (203) 785-4081
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Allergy & Immunology Physician | 207K00000X | 66805 | CT | Primary |
Addresses
Primary practice location
1 Park St # WP2
New Haven, CT 06504-8901
Mailing address
38 Norfield Woods Rd
Weston, CT 06883-2231
Phone (203) 247-6199
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://yalehealth.yale.edu/appointments/using-mychart | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
1 Park St
#2
North Haven, CT 06504
Phone (203) 688-8836
1 Park St
North Haven, CT 06504
Phone (203) 785-4643
Interoperability endpoints
- jflom488771@direct.ynhh.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1548654882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 NORFIELD WOODS RD",
"city": "WESTON",
"state": "CT",
"postal_code": "068832231",
"telephone_number": "203-247-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ST # WP2",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048901",
"telephone_number": "203-785-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOM",
"first_name": "JULIE",
"middle_name": "DANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2020-09-28",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CT",
"license": "66805",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://yalehealth.yale.edu/appointments/using-mychart",
"affiliation": "N",
"endpointDescription": "MyChart",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "MyChart",
"address_1": "1 Park St # Wp2",
"city": "New Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065048901",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.