MS. SARA JANINE RENNA PA-C NPI 1033155759

NPI Information

NPI: 1033155759
Provider Name: MS. SARA JANINE RENNA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
20 YORK ST
WP493, NEONATOLOGY OFFICE, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-2320
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MS. Sara Janine Renna, PA-C is a medical physician assistant in New Haven, CT. MS. Sara Janine Renna, PA-C NPI is 1033155759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 YORK ST
WP493, NEONATOLOGY OFFICE, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT
ZIP 06510-220
Phone: (203) 688-2320

The NPI 1033155759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 1/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	001338	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	970001839	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
2	Q40902	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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