Active NPI
Ada Minsky Fenick, MD
- Pediatrics Physician
- New Haven, CT
National Provider Identifier
1922081157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 041625
- Practice address
- 789 Howard Ave
Yale-New Haven Hospital - Basement
New Haven, CT 06519-1304 - Phone
- (203) 688-2470
- Fax
- (203) 688-7274
- NPI assigned
- Nov 22, 2005
- Last updated
- Dec 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 041625 | CT | Primary |
Addresses
Primary practice location
789 Howard Ave
Yale-New Haven Hospital - Basement
New Haven, CT 06519-1304
Mailing address
PO Box 9805
300 George St, 6TH Floor
New Haven, CT 06536-0805
Phone (203) 785-7998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041625 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- afenick9095@direct.ynhh.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1922081157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9805",
"address_2": "300 GEORGE ST, 6TH FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065360805",
"telephone_number": "203-785-7998",
"fax_number": "203-785-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 HOWARD AVE",
"address_2": "YALE-NEW HAVEN HOSPITAL - BASEMENT",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191304",
"telephone_number": "203-688-2470",
"fax_number": "203-688-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENICK",
"first_name": "ADA",
"middle_name": "MINSKY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "041625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.