Active NPI
City of New Haven
- Public Health or Welfare Agency
- New Haven, CT
National Provider Identifier
1790879971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 0220
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070130000474 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 6305847518 | Practice locations: New Haven, CT |
National Provider Directory
National Provider DirectoryLocations
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.