Individual provider Active NPI

Lawrence Tse Siew, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • New Haven, CT
National Provider Identifier
1891933727
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
050576 Issued in CT
Practice address
100 York St Ste 1F
New Haven, CT 06511-5664
Phone
(203) 737-7445
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 244113 NY
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 050576 CT Primary

Addresses

Primary practice location

100 York St Ste 1F
New Haven, CT 06511-5664

Mailing address

100 York St Ste 1F
New Haven, CT 06511-5664

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000025 CT Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 6305006271 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
244113NYMDPediatrics Physician
050576CTMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Pediatrics Current Accepting new patients
Yale University CurrentSince Jul 1, 2012 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Yale University CurrentSince Jul 1, 2012 Accepting new patients
Lawrence and Memorial Hospital, Inc. Pediatrics CurrentSince Apr 1, 2019 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

52 Hazelnut Hill Rd
Groton, CT 06340
Phone (860) 446-8265

40 Temple St
Ste 3A
New Haven, CT 06510
Phone (203) 785-2020

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

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

Interoperability endpoints

  • Direct secure messaging: lsiew4607@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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1891933727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YORK ST STE 1F",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YORK ST STE 1F",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115664",
            "telephone_number": "203-737-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEW",
        "first_name": "LAWRENCE",
        "middle_name": "TSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244113",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "CT",
            "license": "050576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.