Active NPI
Rachel Leigh Goldberg Gell, APRN
- Pediatric Nurse Practitioner
- New Haven, CT
National Provider Identifier
1720061369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 002168
- Practice address
- 2 Church St S
Suite 511
New Haven, CT 06519-1717 - Phone
- (203) 764-9199
- Fax
- (203) 764-9149
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 002168 | CT | Primary |
Addresses
Primary practice location
2 Church St S
Suite 511
New Haven, CT 06519-1717
Mailing address
PO Box 9805
300 George Street 6TH Floor
New Haven, CT 06536-0805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004213047 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002168 | CT | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- rgoldberggell10023@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1720061369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9805",
"address_2": "300 GEORGE STREET 6TH FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065360805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHURCH ST S",
"address_2": "SUITE 511",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191717",
"telephone_number": "203-764-9199",
"fax_number": "203-764-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG GELL",
"first_name": "RACHEL",
"middle_name": "LEIGH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "002168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004213047",
"state": "CT"
}
],
"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 Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.