Individual provider Active NPI

Jeffrey Eskendri, D.M.D.

  • Oral and Maxillofacial Pathology Dentistry
  • New Haven, CT
National Provider Identifier
1912230533
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
12337 Issued in CT
Practice address
20 York St # Ep2-631
New Haven, CT 06510-3220
Phone
(203) 785-6424
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 055875-1 NY
General Practice Dentistry 1223G0001X 0401412638 VA
General Practice Dentistry 1223G0001X 12337 CT
Oral and Maxillofacial Pathology Dentistry 1223P0106X 055875-1 NY
Anatomic Pathology Physician 207ZP0101X 12337 CT
Oral and Maxillofacial Pathology Dentistry 1223P0106X 12337 CT Primary

Addresses

Primary practice location

20 York St # Ep2-631
New Haven, CT 06510-3220

Mailing address

226 Brooks Dr
Beaver Falls, PA 15010-1111
Phone (724) 846-1868

Other practice location 1

226 Brooks Dr
Beaver Falls, PA 15010-1111
Phone (724) 846-1868

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001982 CT Practitioner - Oral Surgery 3870833890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055875-1NYMDGeneral Practice Dentistry
0401412638VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jan 27, 2019 Accepting new patients
Yale University CurrentSince Jan 27, 2019 Accepting new patients

Locations

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

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

20 York St
#2631
New Haven, CT 06510
Phone (203) 785-2788

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Interoperability endpoints

  • Direct secure messaging: jeskendri413594@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.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1912230533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BROOKS DR",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101111",
            "telephone_number": "724-846-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST # EP2-631",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-785-6424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Brooks Dr",
            "address_purpose": "LOCATION",
            "city": "Beaver Falls",
            "state": "PA",
            "postal_code": "150101111",
            "country_code": "US",
            "telephone_number": "724-846-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESKENDRI",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055875-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412638",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12337",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "055875-1",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CT",
            "license": "12337",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CT",
            "license": "12337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.