JADRY GRUEN (NPI# 1558898452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558898452 |
| Entity Type | Individual |
| Full Name | JADRY GRUEN |
| Credential | MD |
| Practice Address |
950 Campbell Avenue Bldg 1, 5th Floor West Haven CT 06516-0651 |
| Mailing Address |
20 York Street Ynhh Dept of Internal Medicine New Haven CT 06510-3220 |
| Practice Telephone | 2039325711 |
| Mailing Telephone | 2036884242 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 64923 | CT | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 York Street, Ynhh Dept of Internal Medicine, New Haven, CT 065103220 | (203) 688-4242 |
| Street Address |
950 CAMPBELL AVENUE BLDG 1, 5TH FLOOR |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-0651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265200 | Jennifer E Napoleone | Nurse Practitioner | 950 Campbell Avenue, Va Healthcare System B1/118, West Haven, CT 06516 | 2005-06-17 |
| 1801440342 | Adrienne Julia Jaeger | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2019-08-01 |
| 1841605581 | West Haven Va Healthcare System | General Acute Care Hospital | 950 Campbell Avenue, West Haven, CT 06516 | 2014-06-20 |
| 1174934426 | Karen Le | Speech-Language Pathologist | 950 Campbell Avenue, Va Connecticut Healthcare System, West Haven, CT 06516 | 2014-05-08 |
| 1992085823 | Emily Ann Melin | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2011-08-23 |
| 1073827358 | Hiuying Edith Zhou | Audiologist | 950 Campbell Avenue, Audiology and Speech Pathology (126), West Haven, CT 06516 | 2010-07-29 |
| 1437328135 | Yvonne G Arthur Streete | Registered Nurse | 950 Campbell Avenue, West Haven, CT 06516 | 2008-02-27 |
| 1306963012 | Natalie Frances Holt | Anesthesiology | 950 Campbell Avenue, Va Connecticut Healthcare System - West Haven Campus, West Haven, CT 06516 | 2007-03-26 |
| 1184799413 | Donna Marie Tice | Nurse Practitioner | 950 Campbell Avenue, Veteran's Administration Medical Center, West Haven, CT 06516 | 2006-11-21 |
| 1326134701 | Antonio Obando | Radiology | 950 Campbell Avenue, West Haven, CT 06516-2700 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447747928 | Kathryn Brogan | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave Fl 4, West Haven, CT 06516-2770 | 2018-04-19 |
| 1336549336 | Cameron Todd Beck | Student in an Organized Health Care Education/Training Program | 3318 W 4150 S, West Haven, UT 84401-8604 | 2014-08-26 |
| 1801214440 | Carrie Ruby Wong | Student in an Organized Health Care Education/Training Program | 950 Campbell Avenue, 11acsl1, Va Connecticut Healthcare System, West Haven, CT 06516 | 2014-04-01 |
| 1982221982 | Arielle Kagan Rubenstein | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-06-25 |
| 1447875463 | Alexandra Kathryn Budd | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-06-15 |
| 1457973984 | Emily Smith | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-05-06 |
| 1497375935 | Vy Truc Ha | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-04-24 |
| 1831750207 | Friedel Daniel | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-06-25 |
| 1043875735 | Jessica Capri | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-05-08 |
| 1598329666 | Kanita Mangine | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-04-24 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on JADRY GRUEN.
| 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.