NPIMap

Organization Active NPI

Yale University

  • Durable Medical Equipment & Medical Supplies
  • Stamford, CT
National Provider Identifier
1831854173
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YALE UNIVERSITY
Practice address
260 Long Ridge Rd
Stamford, CT 06902-1638
Phone
(877) 925-3637
Fax
(203) 785-6798
NPI assigned
Nov 2, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Iain Burchell
Title
Chief Financial Officer
Phone
(203) 785-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

260 Long Ridge Rd
Stamford, CT 06902-1638

Mailing address

PO Box 7309
New Haven, CT 06519-0309

Other names 1

  • Yale Orthopaedics - Stamford Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220118000296 CT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9436061736 Practice locations: Stamford, CT

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Raj Modak MD25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mga HomecareScottsdale, AZ, CCN 037243 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareColorado Springs, CO, CCN 067487 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareGlendale, CO, CCN 067522 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareAustin, TX, CCN 748009 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecarePueblo, CO, CCN 067584 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareAddison, TX, CCN 748028 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareMemphis, TN, CCN 447825 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 4, 2022

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1831854173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7309",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065190309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021638",
            "telephone_number": "877-925-3637",
            "fax_number": "203-785-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "BURCHELL",
        "authorized_official_first_name": "IAIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-785-2140"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yale Orthopaedics - Stamford",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.