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ETHAN DYER
NPI 1194260836
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since January 04, 2017
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Jan 4, 2017 (2 updates tracked since 2017).

About Ethan Dyer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN DYER (NPI 1194260836) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since January 2017. He maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1194260836
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN DYER
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateJanuary 4, 2017
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
✔ NPI 1194260836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
20 YORK ST, New Haven, CT 06510
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Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Dyer's NPI number?

The NPI number for Ethan Dyer is 1194260836. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Ethan Dyer located?

Ethan Dyer practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Ethan Dyer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Dyer was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.