Individual provider Active NPI

Joao Paulo De Aquino, M.D.

  • Neurology Physician
  • New Haven, CT
National Provider Identifier
1710398235
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
55485 Issued in CT
Practice address
300 George St
Suite 901, Yale University Department of Psychiarty
New Haven, CT 06511
Phone
(203) 785-2117
Fax
(203) 785-7357
NPI assigned
May 19, 2014
Reactivated
Feb 6, 2015
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 55485 CT Primary

Addresses

Primary practice location

300 George St
Suite 901, Yale University Department of Psychiarty
New Haven, CT 06511

Mailing address

49 Woodstock Rd
Hamden, CT 06517-2949
Phone (917) 346-2928

Other names 1

  • Dr. Joao Paulo De Aquino Lima Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707001238 CT Practitioner - Psychiatry 0648591024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1710398235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WOODSTOCK RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172949",
            "telephone_number": "917-346-2928",
            "fax_number": "203-937-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST",
            "address_2": "SUITE 901, YALE UNIVERSITY DEPARTMENT OF PSYCHIARTY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-785-2117",
            "fax_number": "203-785-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE AQUINO",
        "first_name": "JOAO",
        "middle_name": "PAULO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "deactivation_date": "2014-12-23",
        "reactivation_date": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "55485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAO",
            "last_name": "DE AQUINO LIMA",
            "middle_name": "PAULO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.