Myron Genel, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

015175 Issued in CT

Practice address

2 Church St S
Suite 511
New Haven, CT 06519-1717

Phone

(203) 764-9199

Fax

(203) 764-9149

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1720061948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST",
            "address_2": "6TH FLOOR PO BOX 9805",
            "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": "GENEL",
        "first_name": "MYRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CT",
            "license": "015175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001151752",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Gelfand, M.D.
• Jesse Geller, PHD
• Ruth Geller, LCSW
• Samuel Geller, M.D.
• Courtney Joan Gemmato, M.D.
• General Surgery Associates PC
• General Surgery, PC
• General Thoracic Surgeons of CT, P.D.
• Stefanie Anne Generao, NP
• Generation of Leaders LLC

• Pediatric Endocrinology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatric Endocrinology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.