DR. LYLY E RODRIGUEZ (NPI# 1255590170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255590170 |
| Entity Type | Individual |
| Full Name | DR. LYLY E RODRIGUEZ |
| Credential | DDS |
| Practice Address |
400 Columbus Ave New Haven CT 06519-1233 |
| Practice Telephone | 2035033250 |
| Practice Fax Number | 2035033254 |
| Mailing Telephone | 2035033250 |
| Mailing Fax Number | 2035033254 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2012-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10362 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235893 | 05 |
| Street Address |
400 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209091 | Robin Goldberg | Dentist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2005-10-20 |
| 1871190579 | Ashley Salter | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-10-06 |
| 1679199095 | Kathleen Mary Mcmahon-brown | Nurse Practitioner | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-22 |
| 1003443219 | D'amira Kendrick | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-03-26 |
| 1821628108 | Jonathan Ruiz | Marriage & Family Therapist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-01-25 |
| 1205495785 | Julia Stark Oricchio | Nurse Practitioner | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2019-06-10 |
| 1174004758 | Taylor Catherine Rispoli | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2018-08-22 |
| 1548769235 | Carolina Bunta | Marriage & Family Therapist | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2018-02-07 |
| 1740728559 | Ervis Shehu | Pharmacist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2017-02-01 |
| 1265985725 | Grace Kindilien Moskowitz | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1215457551 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 46 Prince St Ste 310, New Haven, CT 06519-1600 | 2017-06-27 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| 1457691677 | Nishan R Halim | Dentist | 308 Alden Ave, Apt A, New Haven, CT 06515-2114 | 2013-02-25 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1407138837 | Robert P Ellison | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2011-09-12 |
| 1639473952 | Kara Gormley | Dentist | 111 Park St Ste 1b, New Haven, CT 06511-5472 | 2010-12-29 |
| 1538331434 | Iffat Nazneen | Dentist | 262 Grand Avenue, New Haven, CT 06513-3742 | 2008-03-31 |
| 1265570097 | Robert Barry Rosenblitt | Dentist | 1574 Chapel Street, New Haven, CT 06511-4205 | 2007-02-02 |
| 1265517015 | Stephen Carl Malinconico | Dentist | 770 Orange St, New Haven, CT 06511 | 2006-10-26 |
| 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.