Active NPI
Yale Medicine, P.C.
- Internal Medicine Physician
- New Haven, CT
National Provider Identifier
1699395095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- YALE MEDICINE, P.C.
- Practice address
- 333 Cedar St
New Haven, CT 06510-3206 - Phone
- (203) 432-4949
- Fax
- (203) 432-7960
- NPI assigned
- Apr 26, 2020
- Last updated
- Jul 6, 2021
- Organization subpart
- Yes
- Parent organization
- YALE UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Taheri, MD
- Title
- Ceo
- Phone
- (203) 785-5970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Dermatology Physician | 207N00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Medical Oncology Physician | 207RX0202X | |||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Pediatrics Physician | 208000000X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | |||
| Neurology Physician | 2084N0400X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
333 Cedar St
New Haven, CT 06510-3206
Mailing address
2 Whitney Ave FL 6
New Haven, CT 06510-1220
Phone (203) 432-4949
National Provider Directory
National Provider Directory- Part of
- Raj Modak MD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- New Haven, CT
- NPI 1255422838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625529600000",
"number": "1699395095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WHITNEY AVE FL 6",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065101220",
"telephone_number": "203-432-4949",
"fax_number": "203-432-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-432-4949",
"fax_number": "203-432-7960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YALE MEDICINE, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YALE UNIVERSITY",
"enumeration_date": "2020-04-26",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A",
"authorized_official_last_name": "TAHERI",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "203-785-5970",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
- Henry Klar Yaggi, MD
- Rama R Yakubu, MD, PHD
- Yale Dermatology Associates PC
- Yale Hemophilia Treatment Center (Yale University)
- Yale Medical Foundation, Inc.
- Yale New Haven Ambulatory Services Corp (Temple Recovery Care Center)
- Yale New Haven Ambulatory Services Corp. - Temple Radiology
- Yale New Haven Health at Home, Inc. (Home Care Plus South Central Connecticut)
- Yale New Haven Health Services Corporation
- Yale New Haven Hospital (The Boutique at Smilow)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.