Active NPI
Yale-New Haven Hospital
- Dental Clinic/Center
- New Haven, CT
National Provider Identifier
1962653287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- YALE-NEW HAVEN HOSPITAL
- Practice address
- 789 Howard Ave
New Haven, CT 06519-1304 - Phone
- (203) 688-2464
- Fax
- (203) 688-1426
- NPI assigned
- Oct 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Rawlings
- Title
- Executive Dir. of Community Health
- Phone
- (203) 688-5645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | CT | Primary |
Addresses
Primary practice location
789 Howard Ave
New Haven, CT 06519-1304
Mailing address
20 York St
Dental Department/Dana 2
New Haven, CT 06510-3220
Phone (203) 688-2464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004011318 | Medicaid | CT |
National Provider Directory
National Provider Directory- Tax ID family
- Yale New Haven Emerg
Other organizations with this tax ID 22
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Locations
20 York St
#2
North Haven, CT 06510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1962653287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"address_2": "DENTAL DEPARTMENT/DANA 2",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-2464",
"fax_number": "203-688-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191304",
"telephone_number": "203-688-2464",
"fax_number": "203-688-1426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YALE-NEW HAVEN HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "RAWLINGS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIR. OF COMMUNITY HEALTH",
"authorized_official_telephone_number": "203-688-5645",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004011318",
"state": "CT"
}
],
"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 Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.