DR. JOHN WARREN EDELGLASS (NPI# 1851350524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851350524 |
Entity Type | Individual |
Full Name | DR. JOHN WARREN EDELGLASS |
Credential | M.D. |
Practice Address |
2 Church St S Suite 214 New Haven CT 06519-1717 |
Practice Telephone | 2036244472 |
Practice Fax Number | 2036247762 |
Mailing Telephone | 2036244472 |
Mailing Fax Number | 2036247762 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 023280 | CT | Allopathic & Osteopathic Physicians |
Street Address |
2 CHURCH ST S SUITE 214 |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093710295 | David Kusovitsky | Dentist | 2 Church St S, Ste 216, New Haven, CT 06519-1717 | 2005-06-15 |
1932519311 | Caroline Anne Nelson | Dermatology | 2 Church St S, New Haven, CT 06519-1717 | 2014-05-06 |
1730439548 | New Haven Prosthodontics, PC | Dentist | 2 Church St S, Suite 216, New Haven, CT 06519-1717 | 2012-09-19 |
1720336415 | Hammers Healthcare Imaging, LLC | Radiology | 2 Church St S, Suite 110, New Haven, CT 06519-1717 | 2012-08-28 |
1629353016 | Rajita Sinha | Psychologist | 2 Church St S, Suite 209, New Haven, CT 06519-1717 | 2011-10-17 |
1417250945 | Interpace Diagnostics Lab, Inc. | Clinical Medical Laboratory | 2 Church St S, Suite B-05, New Haven, CT 06519-1717 | 2010-12-06 |
1205137783 | Roslyn Chosak M.d.,l.l.c. | Specialist | 2 Church St S, Suite 501, New Haven, CT 06519-1717 | 2010-11-15 |
1235468711 | Robert F Berke-schlessel | Surgery | 2 Church St S, Suite 504, New Haven, CT 06519-1717 | 2009-12-14 |
1770817991 | Sachin N Desai | Pediatrics | 2 Church St S, Suite 300a, New Haven, CT 06519-1717 | 2009-09-21 |
1063654945 | Anne M Lovejoy | Physician Assistant | 2 Church St S, Suite 515, New Haven, CT 06519-1717 | 2009-03-24 |
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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 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
1336551589 | Alicia Joan Little | Dermatology | 333 Cedar St, Dermatology, New Haven, CT 06520-8059 | 2014-05-22 |
1457627531 | Ian Douglas Odell | Dermatology | 333 Cedar St Bldg Lmp, Room 5040, New Haven, CT 06510-3206 | 2012-03-22 |
1346425071 | Oscar Rene Colegio | Dermatology | Yale-new Haven Hospital, 20 York Street, T-209, New Haven, CT 06510 | 2007-12-31 |
1639377690 | Dermatology Associates P.C. | Dermatology | 1 Long Wharf Dr # 30, New Haven, CT 06511-5991 | 2007-07-10 |
1649218223 | Lisa Marian Donofrio | Dermatology | 134 Park St, New Haven, CT 06511-5409 | 2006-06-03 |
1841258282 | Christine J Ko | Dermatology | 15 York Street, Lmp 5031, New Haven, CT 06510 | 2006-05-03 |
1245744846 | Tdg Connecticut Pllc | Dermatology | 134 Park St, New Haven, CT 06511-5409 | 2017-11-20 |
1497104822 | Anna S Eisenstein | Dermatology | 15 York Street, Lmp 5040, New Haven, CT 06510-3220 | 2016-06-07 |
1083063549 | Nan Guo Ring | Dermatology | 15 York Street, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06520-8030 | 2016-06-06 |
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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.