NORTHEAST MEDICAL GROUP


Address: 20 York St, New Haven, CT 06510-3220
Phone: 2036884242

NORTHEAST MEDICAL GROUP (NPI# 1396134664) 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) 1396134664
Entity Type Organization
Organization Name NORTHEAST MEDICAL GROUP
Practice Address 20 York St
New Haven
CT 06510-3220
Mailing Address 226 Mill Hill Ave Ste 3
Bridgeport
CT 06610-2826
Practice Telephone 2036884242
Enumeration Date 2015-01-09
Last Update Date 2015-01-09
Authorized Official Name CECILIA WALDRON (CREDENTIALING COORDINATOR)
Authorized Official Telephone 2036881734
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital 50684 CT Hospitals

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Northeast Medical Group Aco, LLC 99 Hawley Lane, Stratford, CT 06614
Alabama Business Registrations Northeast Medical Group, Inc. 99 Hawley Lane, Stratford, CT 06614
System for Award Management (SAM) Entities NORTHEAST MEDICAL GROUP, INC. 99 Hawley Ln Fl 3, Stratford, CT 06614-1202
New York State Corporations NORTHEAST MEDICAL GROUP, PLLC 80 State Street, Albany, New York 12207-2543

Office Location

Street Address 20 YORK ST
City NEW HAVEN
State CT
Zip Code 06510-3220

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1174830228 Saint Raphael Hospital General Acute Care Hospital 1450, Chapel Street, Hospital of Saint Raphael, New Haven, CT 06511-2204 2010-09-10
1538485388 University of Pittsburgh Medical Center General Acute Care Hospital 56 Hillside Pl, Apt 2, New Haven, CT 06511-3575 2010-04-19
1255586772 Ynhh General Acute Care Hospital 56,hillside Pl., Apt No.2, New Haven, CT 06511 2008-11-25
1073605101 Department of Veteran Affairs Hospital General Acute Care Hospital 265 College St Apt 4b, New Haven, CT 06510-2421 2006-09-28
1902356769 Yale New Haven Hospital - Src General Acute Care Hospital 1450 Chapel St, New Haven, CT 06511-4405 2016-10-05
1508218587 Gal Yaniv General Acute Care Hospital 20 York St, Ynhh Diagnostic Radiology, New Haven, CT 06510-3220 2016-07-01
1194189605 Azeem Wasay General Acute Care Hospital 333 Cedar Street, New Haven, CT 06520-8042 2016-04-11
1225403801 Joseph A. Madri General Acute Care Hospital 310 Cedar Street, Yale Univ. Yale New Haven Hospital, New Haven, CT 06520-8023 2015-12-08
1396121596 Yale New Haven Hospital General Acute Care Hospital 20 York St, New Haven, CT 06510-3220 2015-08-11
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06510

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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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