DR. AVITAL BRENA LUDOMIRSKY (NPI# 1770945677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770945677 |
Entity Type | Individual |
Full Name | DR. AVITAL BRENA LUDOMIRSKY |
Credential | MD, MPP |
Practice Address |
1 Park St New Haven CT 06504-8901 |
Mailing Address |
367 Orange St Apt 635 New Haven CT 06511-6464 |
Practice Telephone | 2037854081 |
Enumeration Date | 2016-03-22 |
Last Update Date | 2020-06-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 65164 | CT | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 278141 | MA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
300 Longwood Ave, Boston, MA 021155724 | 6173556000 |
Street Address |
1 PARK ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06504-8901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063493914 | Leonel A Rodriguez | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2005-11-08 |
1316564347 | Danielle Hegarty | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-06-25 |
1902436678 | Katherine Farnsworth | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-01-22 |
1043863608 | Jennifer Grise | Registered Nurse | 1 Park St, New Haven, CT 06504-8901 | 2019-07-22 |
1023574845 | Sleepy Smiles Ct LLC | Dentist | 1 Park St, New Haven, CT 06504-8901 | 2019-02-17 |
1871069559 | Stephanie Fiorentino | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2018-10-19 |
1780112292 | Paul Andrew Wontroski | Student in an Organized Health Care Education/Training Program | 1 Park St, New Haven, CT 06504-8901 | 2017-05-28 |
1003295023 | Danice Kuruvilla | Pediatrics | 1 Park St, New Haven, CT 06504 | 2015-05-22 |
1326432469 | Katherine Allen Nash | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2015-03-26 |
1851792170 | Sherin T. Panacherry | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2014-09-05 |
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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 | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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/certificatio - 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 |
---|---|---|---|---|
1225322456 | Matthew Drago | Pediatrics | 1 Park St # Wp4, New Haven, CT 06504-8901 | 2011-06-06 |
1497082648 | Jason Henry Greenberg | Pediatrics | 15 W Rock Ave, New Haven, CT 06515-2218 | 2009-11-09 |
1841428406 | Angela M Montgomery | Pediatrics | 20 York St # Wp493, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2009-06-22 |
1538396353 | Erin A Nozetz | Pediatrics | 20 York St # T209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2009-06-18 |
1891933727 | Lawrence Tse Siew | Pediatrics | 100 York St Ste 1f, New Haven, CT 06511-5664 | 2009-01-30 |
1750548848 | Dean Yimlamai | Pediatrics | 333 Cedar St # 4093, New Haven, CT 06510-3206 | 2008-05-18 |
1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
1376720961 | Adam Kenneth Berkwitt | Pediatrics | 20 York St, T209, Yale New Haven Hospital, New Haven, CT 06510 | 2008-01-25 |
1780885871 | Lindsay Callahan Johnston | Pediatrics | 333 Cedar St, Wp 493 Box 208064, Yale University, Dept. of Pediatrics, Neonatology, New Haven, CT 06520-8064 | 2007-05-29 |
1245328335 | Nancy Monestime-williams | Pediatrics | 646 Quinnipiac Ave, New Haven, CT 06513-4003 | 2006-10-11 |
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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.