Individual provider Active NPI

Laura-Anne Malone-Scott, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1780619577
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001681 Issued in CT
Practice address
1450 Chapel St
Hospital of St Raphael
New Haven, CT 06511-4405
Phone
(203) 789-3955
Fax
(203) 789-4037
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001681 CT Primary

Addresses

Primary practice location

1450 Chapel St
Hospital of St Raphael
New Haven, CT 06511-4405

Mailing address

91 Surrey LN
Guilford, CT 06437-1953
Phone (203) 980-4788

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
I20051216000254 CT Practitioner - Physician Assistant 3870514946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001681CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 1, 2016 Accepting new patients
Yale University CurrentSince Jul 1, 2016 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Fair Haven Community Health Clinic Inc Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients

Locations

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

150 Sargent Dr
Ste 1300
New Haven, CT 06511

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

Interoperability endpoints

  • Direct secure messaging: lmalonescott100315@direct.ynhh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1780619577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SURREY LN",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371953",
            "telephone_number": "203-980-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "address_2": "HOSPITAL OF ST RAPHAEL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-3955",
            "fax_number": "203-789-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE-SCOTT",
        "first_name": "LAURA-ANNE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.