Active NPI
Sean Ryan Christensen, MD
- Dermatology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 050079
- Practice address
- 40 Temple St
Suite 5a
New Haven, CT 06510-2715 - Phone
- (203) 785-3466
- Fax
- (203) 785-5256
- NPI assigned
- Dec 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 050079 | CT | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 50079 | CT | |
| Procedural Dermatology Physician | 207NS0135X | 50079 | CT |
Addresses
Primary practice location
40 Temple St
Suite 5a
New Haven, CT 06510-2715
Mailing address
PO Box 208059
333 Cedar St
New Haven, CT 06520-8059
Phone (203) 785-4632
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Yale University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Temple St
New Haven, CT 06510-2715
5 S Main St
Suite 511
Branford, CT 06405-3846
Phone (203) 481-3419
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 61 |
| Removal of skin lesions | 94 |
| Removal of skin cancer | 673 |
| Skin biopsy | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050079 | CT | MD | Dermatology Physician |
| 50079 | CT | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Dermatology | Current | Accepting new patients |
Locations
40 Temple St
Ste 5A
New Haven, CT 06510
Phone (203) 785-3466
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- schristensen2784@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.
-
- 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": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1962685073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208059",
"address_2": "333 CEDAR ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208059",
"telephone_number": "203-785-4632",
"fax_number": "203-785-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TEMPLE ST",
"address_2": "SUITE 5A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102715",
"telephone_number": "203-785-3466",
"fax_number": "203-785-5256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "SEAN",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "050079",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CT",
"license": "50079",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CT",
"license": "50079",
"primary": false
}
],
"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 Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.