Organization Active NPI

City of New Haven

  • Public Health or Welfare Agency
  • New Haven, CT
National Provider Identifier
1790879971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
0220 Issued in CT
Legal business name
CITY OF NEW HAVEN
Practice address
54 Meadow St
9TH Floor
New Haven, CT 06519-1783
Phone
(203) 946-6999
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Quinn, MPH
Title
Director of Health
Phone
(203) 946-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 0220 CT Primary

Addresses

Primary practice location

54 Meadow St
9TH Floor
New Haven, CT 06519-1783

Mailing address

54 Meadow St
9TH Floor
New Haven, CT 06519-1783
Phone (203) 946-6999

Other names 1

  • New Haven Health Department Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000474 CT Part B Supplier - Mass Immunization (Roster Biller Only) 6305847518 Practice locations: New Haven, CT

National Provider Directory

National Provider Directory

Locations

54 Meadow St
Fl 9
New Haven, CT 06519
Phone (203) 946-6364

200 Wilmot Rd
New Haven, CT 06515

54 Meadow St
Fl 1
New Haven, CT 06519
Phone (203) 903-8308

424 Chapel St
New Haven, CT 06511

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790879971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MEADOW ST",
            "address_2": "9TH FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191783",
            "telephone_number": "203-946-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MEADOW ST",
            "address_2": "9TH FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191783",
            "telephone_number": "203-946-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "203-946-6999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CT",
            "license": "0220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Haven Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.