Active NPIIndividual providerSole proprietor

Dr. Jose M Panisello, MD

Pediatrics, Pediatric Critical Care Medicine in New Haven, Connecticut

NPI Number1306116389
Practice location
20 York St, 305 Lci, New Haven, CT 06510-3220
Fax
—
Last updated
April 5, 2012

Jose Manuel Panisello is a Pediatrics, Pediatric Critical Care Medicine based in New Haven, CT. Jose Manuel Panisello practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Jose Manuel Panisello is 1306116389 and holds a License No. 050338 (CT). The current practice location address for Jose Manuel Panisello is 20 York St, 305 Lci, New Haven, CT 06510-3220 and can be reached out via phone at 203-785-4651.

Provider Profile Details

NPI Number
1306116389
Provider Name
Jose Manuel Panisello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20 York St, 305 Lci, New Haven, CT 06510-3220
Phone Number
203-785-4651
Primary Taxonomy
Pediatrics, Pediatric Critical Care Medicine · 2080P0203X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2012
Last Update Date
April 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 York St
305 Lci
New Haven, CT 06510-3220
Zip
06510-3220
Phone Number
203-785-4651
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
15 York Street,
Llci 305 Pediatrics, Yale University
New Haven, CT 06520-8064
City
New Haven
State
CT
Zip
06520-8064
Phone Number
203-785-4651
Fax Number
203-785-5833

License Information

License Number
050338
License State
CT
Taxonomy
Pediatrics, Pediatric Critical Care Medicine · 2080P0203X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jose M Panisello, MD?

The NPI number of Dr. Jose M Panisello, MD is 1306116389. It was assigned on January 6, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose M Panisello, MD?

Dr. Jose M Panisello, MD is registered under the primary taxonomy Pediatrics, Pediatric Critical Care Medicine (code 2080P0203X), licensed in CT under license number 050338.

Where does Dr. Jose M Panisello, MD practice?

The practice location is 20 York St, 305 Lci, New Haven, CT 06510-3220. The office can be reached at 203-785-4651 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306116389 directly on the NPPES registry website.

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