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NORTHEAST MEDICAL GROUP
NPI 1396134664
General Acute Care Hospital in New Haven, CT

Active since January 09, 2015CLIA 07D0873173 · Microscopy
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Medical Group NPPES

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

NORTHEAST MEDICAL GROUP (NPI 1396134664) is a healthcare organization registered as a general acute care hospital in New Haven, Connecticut and active in the NPI registry since January 2015. The organization holds a CLIA Microscopy certificate valid through July 7, 2027 and lists Cecilia Waldron, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1396134664
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameNORTHEAST MEDICAL GROUP
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address226 Mill Hill Ave Ste 3Bridgeport, CT 06610-2826
Phone(203) 688-4242
Organization SubpartNo
Authorized OfficialCecilia WaldronCredentialing Coordinator · (203) 688-1734
Enumeration DateJanuary 9, 2015
✔ NPI 1396134664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CT · 50684
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
20 YORK ST, New Haven, CT 06510
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D0873173

Northeast Medical Group · New Haven, CT
Active · expires Jul 7, 2027
CLIA Number07D0873173
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorPrathibha Varkey Mbbs Mph Mhpe
Laboratory Phone(203) 339-6499
Laboratory LocationNortheast Medical Group46 Prince St Ste 302, New Haven, CT 06511
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Northeast Medical Group's NPI number?

The NPI number for Northeast Medical Group is 1396134664. It was assigned to this organization in the NPPES registry on January 9, 2015.

Where is Northeast Medical Group located?

Northeast Medical Group is located at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Northeast Medical Group's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Northeast Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0873173) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Medical Group was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.