YALE UNIVERSITY (NPI# 1114185063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114185063 |
| Entity Type | Organization |
| Organization Name | YALE UNIVERSITY |
| Other Organization Name | YALE DIAGNOSTIC RADIOLOGY |
| Practice Address |
20 York St Yale-new Haven Hospital South Pavilion - 2nd Fl New Haven CT 06510-3220 |
| Mailing Address |
Po Box 9805 300 George St 6th Flr New Haven CT 06536-0805 |
| Practice Telephone | 2036882433 |
| Practice Fax Number | 2036889258 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | MARIANNE DESS-SANTORO (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2037852140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| YALE DIAGNOSTIC RADIOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717242 | Yale University | Clinic/Center | 367 Cedar St Bldg A, New Haven, CT 06510-3222 | 2019-12-13 |
| 1023446127 | Yale University | Chronic Disease Hospital | 333 Cedar St Fl 8, New Haven, CT 06510-3206 | 2013-10-29 |
| 1750778247 | Yale University | Clinical Medical Laboratory | 300 Cedar Street, Tac-s430, New Haven, CT 06520-8057 | 2015-04-22 |
| 1952649097 | Yale University | Radiology | 20 York St, New Haven, CT 06510-3220 | 2013-01-24 |
| 1326375486 | Yale University | Psychiatric Unit | 300 George St, Suite 901, New Haven, CT 06511-6624 | 2009-11-11 |
| 1740434877 | Yale University | General Acute Care Hospital | 310 Cedar St, 416a Lauder Hall, New Haven, CT 06510-3218 | 2008-11-17 |
| 1700035292 | Yale University | Radiology | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-09-09 |
| 1265681753 | Yale University | Anesthesiology | 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-09-09 |
| 1396902342 | Yale University | Clinic/Center | 55 Lock St, New Haven, CT 06511-3603 | 2008-05-19 |
| 1487821211 | Yale University | Clinic/Center | 40 Temple St, Suite 3c, New Haven, CT 06510-2715 | 2008-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YALE UNIVERSITY | 105 Wall St, New Haven, CT 06511-8917 |
| Connecticut Business Registrations | YALE UNIVERSITY | |
| Connecticut Business Registrations | YALE UNIVERSITY DRAMATIC ASSOCIATION INCORPORATED | Yale University Theatre, 222 York St, New Haven, CT 06511 |
| Connecticut Business Registrations | YALE UNIVERSITY ELIZABETHAN CLUB CORPORATION | 459 College St, New Haven, CT 06511 |
| Connecticut Business Registrations | YALE UNIVERSITY GUILD OF CARILLONNEURS INCORPORATED | C/o Ellen Dickinson, 69 Auldwood Rd, Stamford, CT 06902 |
| Colorado Business Entities | Yale University of Finance and Economics | 6547 N Academy Blvd #2266, Colorado Springs, CO 80918 |
| Connecticut Business Registrations | YALE UNIVERSITY SIGMA ALPHA EPSILON EDUCATION CORPORATION | 35 High St., New Haven, CT 06511 |
| Street Address |
20 YORK ST YALE-NEW HAVEN HOSPITAL SOUTH PAVILION - 2ND FL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547042 | Kimberly C Irwin | Specialist | 20 York St, New Haven, CT 06510-3220 | 2005-06-09 |
| 1225639644 | Lauren Marie Astorino | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-11-03 |
| 1598365215 | Apphia Rose Harris | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-30 |
| 1861091365 | Melissa Todice | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-26 |
| 1528665213 | Rebecca Dorothy Harrison | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-06 |
| 1467068551 | Marissa Meegan Sanca | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-23 |
| 1093321234 | Oksana Petsukh | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-09-22 |
| 1841806114 | Madiha Shah | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-09-21 |
| 1053926303 | Tanyeri Barak | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-09-14 |
| 1548875776 | Lisa Wrubel | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-14 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| 1144585613 | Sowmya Mahalingam | Radiology | 333 Cedar St Rm Te2, Ynhh Dept of Radiology, New Haven, CT 06510 | 2012-07-10 |
| 1841553047 | Christopher Phillip Gange Jr. | Radiology | 20 York St # Te2, New Haven, CT 06510 | 2012-06-21 |
| 1427333244 | Alexander Goehler | Radiology | 333 Cedar Steet, Yale New Haven Hospital, New Haven, CT 06520 | 2011-10-12 |
| 1083901516 | Hannah Nikkole Russell | Radiology | 333 Cedar St Rm Cb-30, Yusm - Radiology, New Haven, CT 06510-3206 | 2011-07-05 |
| 1366758211 | Krithica Kaliannan | Radiology | 333 Cedar Street-te2-224, Ynnh-department of Radiology, New Haven, CT 06520-8042 | 2010-08-28 |
| 1871817973 | Michael Spektor | Radiology | 20 York St # Sp-2, Dpt. of Diagnostic Radiology Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2010-03-17 |
| 1841529575 | Maison Chen | Radiology | 333 Cedar St, Te2, Yale Dx Radiology, New Haven, CT 06520 | 2009-12-08 |
| 1528392321 | Juan Carlos L Perez Lozada | Radiology | 20 York St Spc 2-213, New Haven, CT 06510-3220 | 2009-09-25 |
| 1881859395 | Sophie Chheang | Radiology | 330 Cedar St # Te2, New Haven, CT 06510 | 2008-07-24 |
| Find all providers in NEW HAVEN | ||||
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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.