Individual provider Active NPI

Angela M Delisle, PA-C

  • Physician Assistant
  • New Haven, CT
National Provider Identifier
1669584777
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000741 Issued in CT
Practice address
20 York St CB-2041
Ynh Medical Services PC
New Haven, CT 06504
Phone
(203) 688-4748
Fax
(203) 688-4740
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000741 CT Primary
Medical Physician Assistant 363AM0700X 000741 CT
Internal Medicine Physician 207R00000X 000741 CT

Addresses

Primary practice location

20 York St CB-2041
Ynh Medical Services PC
New Haven, CT 06504

Mailing address

20 York St CB-2041
Ynh Medical Services PC
New Haven, CT 06504
Phone (203) 688-4748

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000227 CT Practitioner - Physician Assistant 5496751083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
741CTMDAudiologist
000741CTMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Oct 1, 2019 Accepting new patients
Connecticut Gastroenterology Consultants, P.C. CurrentSince Jun 1, 1998 Accepting new patients
Yale University CurrentSince Sep 1, 2014 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Apr 18, 2010 Accepting new patients
Yale University CurrentSince Sep 1, 2014 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

800 Boston Post Rd
Ste 201
Guilford, CT 06437
Phone (203) 777-0304

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

40 Temple St
Ste 4A
New Haven, CT 06510
Phone (203) 777-0304

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

20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734

20 York St
North Haven, CT 06510
Phone (203) 688-2433

2110 Silas Deane Hwy
Rocky Hill, CT 06067

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

Interoperability endpoints

  • Direct secure messaging: angela.delisle@xdr.hhchealthdirect.org
  • Direct secure messaging: adelisle2902@direct.ynhh.org

Organizations & group practices 7

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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1669584777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST CB-2041",
            "address_2": "YNH MEDICAL SERVICES PC",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06504",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST CB-2041",
            "address_2": "YNH MEDICAL SERVICES PC",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06504",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000741",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000741",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.