Active NPI
Jeenu Mary Zacharias, CRNA
- Certified Registered Nurse Anesthetist
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6841
- Practice address
- 333 Cedar St, TMP3
Yale University, Department of Anesthesiology
New Haven, CT 06520-8051 - Phone
- (203) 737-1549
- Fax
- (203) 785-6664
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 078356 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 6841 | CT | Primary |
Addresses
Primary practice location
333 Cedar St, TMP3
Yale University, Department of Anesthesiology
New Haven, CT 06520-8051
Mailing address
25 Broadmeadow Rd
Wallingford, CT 06492-6045
Phone (203) 300-0045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6841 | Other | CT | APRN LICENSE |
| 078356 | Other | CT | RN LICENSE |
Other names 1
- Jeenu Mary George
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Chapel St
New Haven, CT 06511-4440
Phone (203) 789-3000
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078356 | CT | MD | Registered Nurse |
| 6841 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
333 Cedar St
#3
New Haven, CT 06510
Phone (203) 737-1549
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
Interoperability endpoints
- jzacharias182952@direct.ynhh.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1871044271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BROADMEADOW RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064926045",
"telephone_number": "203-300-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST, TMP3",
"address_2": "YALE UNIVERSITY, DEPARTMENT OF ANESTHESIOLOGY",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208051",
"telephone_number": "203-737-1549",
"fax_number": "203-785-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARIAS",
"first_name": "JEENU",
"middle_name": "MARY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "078356",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "6841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "6841",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "078356",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEENU",
"last_name": "GEORGE",
"middle_name": "MARY",
"credential": "RN",
"code": "1",
"type": "Former 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 Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.