MEDICARE: YALE NEW HAVEN HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273Y00000X	Rehabilitation Hospital Unit	0044	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518019041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YALE NEW HAVEN HOSPITAL

Provider Business Mailing Address
First Line	:	20 YORK ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06504-8900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 YORK ST
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06504-8900
Country	:	US
Telephone Number	:	203-688-2046
Fax Number	:

Authorized Official
Title or Position	:	EXEC DIR REVENUE CYCLE
Name	:	JONATHAN DAVIS
Credential	:
Telephone Number	:	203-836-1094

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	12/02/2025

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