DR. JONATHAN BORAK (NPI# 1053747691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053747691 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BORAK |
| Credential | MD |
| Practice Address |
234 Church St New Haven CT 06510-1804 |
| Practice Telephone | 2037776611 |
| Practice Fax Number | 2037771411 |
| Mailing Telephone | 2037776611 |
| Mailing Fax Number | 2037771411 |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2013-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
19428 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
234 CHURCH ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073556841 | Anna Ostrovskaya | Psychiatry & Neurology | 234 Church St, Suite 1201, New Haven, CT 06510-1804 | 2006-06-13 |
| 1912234238 | Michael Vincent Pantalon | Psychologist | 234 Church St, Suite 301, New Haven, CT 06510-1804 | 2009-11-06 |
| 1780845495 | Barbara Mason | Psychiatry & Neurology | 234 Church St, Suite 300, New Haven, CT 06510-1804 | 2008-06-24 |
| 1811010119 | Vladimir Coric Jr. | Psychiatry & Neurology | 234 Church St, Suite 301, New Haven, CT 06510-1804 | 2007-04-09 |
| 1003950239 | Sidney Hornor Phillips | Psychiatry & Neurology | 234 Church St, Suite #300, New Haven, CT 06510-1804 | 2007-02-19 |
| 1053452011 | Frank G Fortunati Jr. | Psychiatry & Neurology | 234 Church St, Suite 301, New Haven, CT 06510-1804 | 2007-02-10 |
| 1770622805 | Barbara Fibel Marcus | Psychologist | 234 Church St, Suite 300, New Haven, CT 06510-1804 | 2007-02-05 |
| 1265599583 | Andrew Lloyd Balter | Psychiatry & Neurology | 234 Church St, Suite 1201, New Haven, CT 06510-1804 | 2007-01-03 |
| 1376655399 | Patricia Anne Balter | Psychologist | 234 Church St, Suite 1201, New Haven, CT 06510-1804 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457732703 | Louis Fazen | Preventive Medicine | 135 College St Fl 3, New Haven, CT 06510-2483 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689126336 | Geoffrey Etherington | Preventive Medicine | 302 Rte 81, Killingworth, CT 06419 | 2016-10-28 |
| 1184930455 | Khaula Khatlani | Preventive Medicine | 975 Farmington Ave Ste 1, Bristol, CT 06010-3964 | 2010-08-25 |
| 1306074570 | James P Mooney Jr. | Preventive Medicine | 352 Timberlane Dr, Orange, CT 06477-2845 | 2009-06-26 |
| 1407004955 | Leo Albert Millette | Preventive Medicine | 185 Old Branchville Rd, Ridgefield, CT 06877-6013 | 2008-09-08 |
| 1902821267 | Alexander Blair Smith | Preventive Medicine | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2006-07-13 |
| 1710957261 | Paul C Kelleher | Preventive Medicine | 169 High Meadow Ln, Mystic, CT 06355-1651 | 2006-01-26 |
| 1427028216 | Kathryn Lee Johnson | Preventive Medicine | 20 Goodwin St, Niantic, CT 06357-3610 | 2006-01-24 |
| 1235736315 | Healthstat Health Center Aces | Preventive Medicine | 261 Skiff St, Hamden, CT 06517-1016 | 2020-10-02 |
| 1730449927 | Cullen Michael Taplin | Preventive Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2012-05-21 |
| 1821222472 | Manoj K Saxena | Preventive Medicine | 79 Washington Ave, North Haven, CT 06473-1704 | 2009-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.