DR. ANTHONY ODUJE ISEDEH JR. (NPI# 1639445539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639445539 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY ODUJE ISEDEH JR. |
| Credential | MD |
| Practice Address |
20 York Street, Cb-2041 New Haven CT 06514-3220 |
| Mailing Address |
201 Lyons Ave Newark NJ 07011 |
| Practice Telephone | 2036884748 |
| Practice Fax Number | 2036884740 |
| Mailing Telephone | 9739267000 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 62045 | CT | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 25MA09458100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1639445539 | 01 |
| VA | 1639445539 | 05 | |
| VA | DEA | FI4336219 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 224 Hamburg Tpke, Wayne, NJ 07470 | 9737543357 | 9733894050 |
| Street Address |
20 YORK STREET, CB-2041 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06514-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090507 | Robin Lee Phillips | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2005-08-12 |
| 1649818634 | Florence Jiyoung Ahn | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-12-20 |
| 1083265300 | Kristina Anello | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-09-27 |
| 1649827676 | Melissa Ann Meyer | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-08-23 |
| 1306409222 | Terance A Anderson | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-04-16 |
| 1861953499 | Daniel Le | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510 | 2019-03-27 |
| 1144787631 | Rebecca Mccurdy | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-02-21 |
| 1477019651 | Danielle Renee Lockwood | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-02-13 |
| 1194299180 | Pamela D'amico | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2019-01-14 |
| 1790250090 | Elise Bishop-rimmer | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2018-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062339 | New Beginnings Behavioral Health LLC | Social Worker | 641 Gilbert Avenue, Hamden, CT 06514 | 2019-09-18 |
| 1376105767 | Mcangel Home Visiting Nurses LLC | Home Health | 1135 Sherman Ave., Hamden, CT 06514 | 2019-07-05 |
| 1467926139 | First Step Gentle Care Labor Doula Service | Doula | 20 Elliot Drive, Hamden, CT 06514 | 2019-01-16 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1023513272 | Ashley Nicole Miano | Behavioral Analyst | 60 Conway Parkway, Building 2b, Suite 110, Hamden, CT 06514 | 2018-03-29 |
| 1619485166 | Hlc Partners LLC | Clinic/Center | 39 Marme St, Hamden, CT 06514 | 2018-01-18 |
| 1851832752 | Kareise Caldwell | Counselor | 123 Pinerock, Hamden, CT 06514 | 2017-03-13 |
| 1417407255 | Tempestt S Latham | Dental Hygienist | 158 Pearl Ave, Hamden, CT 06514 | 2016-10-05 |
| 1679945356 | Carolina Nanetrivera Parrott | Social Worker | 180 Pine Rock Ave, Hamden, CT 06514 | 2015-10-21 |
| 1629446976 | Ebun Aderibole | Counselor | 823 Pine Rock Ave, Hamden, CT 06514 | 2015-09-03 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316273485 | Jennifer Brook | Hospitalist | 20 York Street (cb-2041), New Haven, CT 06510 | 2009-10-26 |
| 1124181904 | Keith Swan | Hospitalist | 20 York St # 2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2006-12-19 |
| 1558306340 | Anna Rodonski | Hospitalist | 20 York Steet, Cb-2041, New Haven, CT 06510 | 2006-06-17 |
| 1528016755 | Linda M. Hricz-borges | Hospitalist | 20 York Stree, Cb-2041, New Haven, CT 06510 | 2006-05-04 |
| 1497273239 | Hisham Al Kukhun | Hospitalist | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2017-08-31 |
| 1467973263 | Dachi Chelidze | Hospitalist | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2017-06-30 |
| 1598295347 | Swapna Anandan | Hospitalist | 20 York St, New Haven, CT 06510-3220 | 2017-06-14 |
| 1043748171 | Jessica Lauren Dolman | Hospitalist | 20 York Street, Ynhh Dept of Internal Medicine, New Haven, CT 06510-3220 | 2017-06-02 |
| 1942737119 | Amed Antonio Logrono | Hospitalist | 20 York St, New Haven, CT 06510-3220 | 2017-05-18 |
| 1669909107 | Andrew Abovian | Hospitalist | 20 York St, New Haven, CT 06510-3220 | 2017-05-15 |
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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.