Organization Active NPI

Yale University

  • Research Clinic/Center
  • New Haven, CT
National Provider Identifier
1639717242
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
YALE UNIVERSITY
Practice address
367 Cedar St BLDG a
New Haven, CT 06510-3222
Phone
(203) 785-4000
NPI assigned
Dec 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Dr. Alexandra Marie Hajduk, PHD, MPH
Title
Associate Professor, Internal Med
Phone
(203) 785-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

367 Cedar St BLDG a
New Haven, CT 06510-3222

Mailing address

40 Bayberry Rd
Prospect, CT 06712-1459
Phone (845) 598-0730

National Provider Directory

National Provider Directory

Locations

367 Cedar St
Bldg A
New Haven, CT 06510
Phone (203) 785-4000

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1639717242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BAYBERRY RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121459",
            "telephone_number": "845-598-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 CEDAR ST BLDG A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103222",
            "telephone_number": "203-785-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "HAJDUK",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR, INTERNAL MED",
        "authorized_official_telephone_number": "203-785-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.