SHANIQUE BINGHAM


Address: 428 Columbus Avenue, Podiatry, New Haven, CT 06519-1233
Phone: 2035033070

SHANIQUE BINGHAM (NPI# 1376925370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376925370
Entity Type Individual
Full Name SHANIQUE BINGHAM
Credential DPM
Practice Address 428 Columbus Avenue
Podiatry
New Haven
CT 06519-1233
Mailing Address 400 Columbus Avenue
Credentialing Specialist
New Haven
CT 06519-1233
Practice Telephone 2035033070
Practice Fax Number 2035033107
Mailing Telephone 2035033000
Mailing Fax Number 2035036515
Enumeration Date 2015-06-25
Last Update Date 2020-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 1056 CT Podiatric Medicine & Surgery Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
CT CSR 0074725 01

Office Location

Street Address 428 COLUMBUS AVENUE
PODIATRY
City NEW HAVEN
State CT
Zip Code 06519-1233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518067230 Marybeth Holak Nurse Practitioner 428 Columbus Avenue, Dermatology, New Haven, CT 06519-1233 2006-09-23
1285271072 Lalida Long Nurse Practitioner 428 Columbus Avenue, Internal Medicine, New Haven, CT 06519-1233 2019-11-29
1851852339 Isabella Yiroa Chen Dentist 428 Columbus Avenue, Dental, New Haven, CT 06519 2019-03-27
1528536745 Viviana Angelina Ojeda Dentist 428 Columbus Avenue, Columbus Dental, New Haven, CT 06519-1233 2018-11-06
1982102083 Jonathan Franklin Johnson Jr. Registered Nurse 428 Columbus Avenue, Pediatrics, New Haven, CT 06519-1233 2018-01-24
1558891531 Matthew Zaringhalam Internal Medicine 428 Columbus Avenue, Convenient Care, New Haven, CT 06519-1233 2017-06-13
1083093181 Hadrian Holder Family Medicine 428 Columbus Avenue, New Haven, CT 06519-1233 2015-05-21
1891118204 Theresa Pennachio Marriage & Family Therapist 428 Columbus Avenue, Child Family Guidance, New Haven, CT 06519-1233 2014-01-22
1801185996 Amelia Watkins Pediatrics 428 Columbus Avenue, Cornell Scott-hill Health Center, New Haven, CT 06519-1233 2011-03-29
1619149515 Jamil Ayanna Harp Obstetrics & Gynecology 428 Columbus Avenue, New Haven, CT 06519-1233 2008-03-31
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417990136 Aparna S Chauhan Podiatrist 136 Sherman Ave Ste 202, New Haven, CT 06511-5210 2006-06-13
1376526814 Peter A Blume Podiatrist 508 Blake St, New Haven, CT 06515-1287 2005-11-29
1376547992 Estell Pappas Podiatrist 136 Sherman Ave, Ste 202, New Haven, CT 06511-5210 2005-06-10
1013443134 New Haven Foot and Ankle Group,inc Podiatrist 136 Sherman Ave Ste 202, New Haven, CT 06511-5210 2017-05-10
1063944049 Laura Poindexter Rowe Podiatrist 1450 Chapel St, Mob 315, New Haven, CT 06511-4405 2017-03-30
1811154511 Podiatry Group of New Haven, PC Podiatrist 200 Orchard St, Ste 102, New Haven, CT 06511-5363 2008-05-20
1558438069 Podiatry Group of New Haven, PC Podiatrist 200 Orchard Street, Suite 102, New Haven, CT 06511 2006-11-29
1306854864 New Haven Podiatry Associates LLP Podiatrist 136 Sherman Ave, Suite 202, New Haven, CT 06511-5238 2006-08-03
1699750240 Gerald A Gorecki Podiatrist 800 Howard Ave, Yale Physicians Building - 1st Floor, New Haven, CT 06519-1369 2005-12-07
1679555106 Steven B Silverstein Podiatrist 200 Orchard St, Suite 102, New Haven, CT 06511 2005-11-18
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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