DR. RAPHAEL ADAM GUTMANN SHERAK


Address: 464 Congress Ave Ste 260, New Haven, CT 06519-1362
Phone: 2037372644

DR. RAPHAEL ADAM GUTMANN SHERAK (NPI# 1669001905) 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) 1669001905
Entity Type Individual
Full Name DR. RAPHAEL ADAM GUTMANN SHERAK
Credential MD
Practice Address 464 Congress Ave Ste 260
New Haven
CT 06519-1362
Practice Telephone 2037372644
Mailing Telephone 2037372644
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 464 CONGRESS AVE STE 260
City NEW HAVEN
State CT
Zip Code 06519-1362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205890084 Gregory Luke Larkin Emergency Medicine 464 Congress Ave Ste 260, New Haven, CT 06519-1361 2006-04-17
1528665197 Mikaela Rose Coady Physician Assistant 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-10-06
1023634565 Meghan Elizabeth Gwara Physician Assistant 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-06-21
1629690524 Vincenzo Phillip Julian Physician Assistant 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-05-13
1932728904 Thomas John Kearns Student in an Organized Health Care Education/Training Program 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-04-10
1750900999 Susan Linda Giampalmo Student in an Organized Health Care Education/Training Program 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-04-08
1871122218 Megan Louise Chin Student in an Organized Health Care Education/Training Program 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-04-07
1700415122 Melissa Marie Thomas Student in an Organized Health Care Education/Training Program 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-04-07
1861021271 Francisca Nwoke Student in an Organized Health Care Education/Training Program 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-04-07
1679102925 Madison Anne Nashu Student in an Organized Health Care Education/Training Program 464 Congress Ave Ste 260, New Haven, CT 06519-1362 2020-04-07
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 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861019689 Mallori Wisuri Student in an Organized Health Care Education/Training Program 14505 Old 24 E, New Haven, IN 46774-9013 2020-06-27
1952920019 Nazli Dizman Student in an Organized Health Care Education/Training Program 20 York St Tompkins 226, New Haven, CT 06510-3220 2020-04-09
1972132314 Ross David Logan Student in an Organized Health Care Education/Training Program 20 York St Ste 226, New Haven, CT 06510-3220 2020-04-07
1194354043 Christian Keene Student in an Organized Health Care Education/Training Program 625 Orange St Apt 43, New Haven, CT 06511-3840 2020-04-03
1639706146 Kevin Jiang Student in an Organized Health Care Education/Training Program 330 Orchard St Ste 207, New Haven, CT 06511-4429 2020-03-25
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
1275166407 Joshua Braden Student in an Organized Health Care Education/Training Program 32277 Salt River Cir N, New Haven, MI 48048-3331 2020-02-17
1871125401 Taylor Alexandra Babin Student in an Organized Health Care Education/Training Program 166 Hall St, New Haven, CT 06512-3148 2020-02-11
1952962649 Su Jung Kim Student in an Organized Health Care Education/Training Program 111 Park St Apt 12t, New Haven, CT 06511-5421 2019-06-24
1144880691 Durga Thakral Student in an Organized Health Care Education/Training Program 367 Cedar St Ste 317, New Haven, CT 06510-3222 2019-06-17
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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