JEFFREY R GRUEN (NPI# 1598748709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598748709 |
| Entity Type | Individual |
| Full Name | JEFFREY R GRUEN |
| Credential | MD |
| Practice Address |
20 York St Ynhh (children's) West Pavilion - 2nd Floor New Haven CT 06504-8900 |
| Mailing Address |
Po Box 9805 300 George St 6th Floor New Haven CT 06536-0805 |
| Practice Telephone | 2036882320 |
| Practice Fax Number | 2036885426 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
025237 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001252379 | 05 |
| Street Address |
20 YORK ST YNHH (CHILDREN'S) WEST PAVILION - 2ND FLOOR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06504-8900 |
| 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 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
| 1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
| 1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
| 1821135187 | Jorge E Dotto | Pathology | Yale New Haven Hosp - Pathology, 20 York Street, Cp2-631, New Haven, CT 06504 | 2007-01-30 |
| 1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1790729507 | Cynthia Anne Nielsen | Social Worker | 20 York St., Yale-new Haven Hospital, New Haven, CT 06504 | 2006-06-15 |
| 1023051901 | Michele N. Nyman Harris | Social Worker | Yale-new Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-06-14 |
| 1386627503 | Kerstin Elizabeth Calia | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06504 | 2005-11-22 |
| 1598761546 | Edward Francois | Internal Medicine | 20 York Street Cb 2041, New Haven, CT 06504 | 2005-06-23 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215373444 | Sheryl Anna-kay Purrier | Pediatrics | 430 Congress Ave, New Haven, CT 06519-1313 | 2013-05-15 |
| 1952644650 | Veronica Fabrizio | Pediatrics | 333 Cedar St, New Haven, CT 06510-3206 | 2013-04-01 |
| 1780946715 | Jacob M Mcpadden | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2012-06-14 |
| 1124327374 | Alaina Kristene Pyle | Pediatrics | 20 York St, New Haven, CT 06510 | 2011-03-26 |
| 1376860692 | Emily Christine Gritz | Pediatrics | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2010-04-26 |
| 1841422813 | Laurie Ann Steiner | Pediatrics | 333 Cedar St, Department of Pediatrics, New Haven, CT 06510-3206 | 2009-08-10 |
| 1679702146 | Orly Luminita Levit | Pediatrics | 333 Cedar St, New Haven, CT 06510-3206 | 2009-07-06 |
| 1326240599 | Rosa T Carrasco Sanchez | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2007-06-01 |
| 1346378973 | Christie J Bruno | Pediatrics | 20 York St, Wp 493, New Haven, CT 06510-3220 | 2007-03-02 |
| 1376570606 | Ahmet Semih Gork | Pediatrics | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2006-06-26 |
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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.