Yale Surgical O&P, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

YALE SURGICAL O&P, LLC

Practice address

305 Boston Ave
Stratford, CT 06614-5246

Phone

(203) 338-8485

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Edward Nicholas Kaufman

Title

Cpo

Phone

(203) 996-3878

Specialties & licenses 1

Addresses

Other names 1

• Yale Comfort SHoe LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1639731334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116992",
            "telephone_number": "203-777-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BOSTON AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145246",
            "telephone_number": "203-338-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE SURGICAL O&P, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CPO",
        "authorized_official_telephone_number": "203-996-3878"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enkaufman@yalesurgical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "305 Boston Ave",
            "city": "Stratford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066145246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Yale Comfort SHoe LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Trina Wong, LMFT
• Jennifer Woods-Mesquita
• Henrietta Wright
• Yuhui Xu, M.D.,PHD
• Yale Comfort Shoe Center LLC (Yale Comfort Shoe-Yale Surgical)
• Panayotes Yannopoulos, MD
• Josh A Yoffe, CRNA
• Keumhong Yoo, D.C.
• Su Jeong Yoon
• Meitta L Young, AMFT

• Durable Medical Equipment & Medical Supplies in Stratford, CT
• Providers in Stratford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.