JACK A ELIAS MD NPI 1053394114

NPI Information

NPI: 1053394114
Provider Name: JACK A ELIAS, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
789 HOWARD AVE
FITKIN BUILDING - 2ND FLOOR
NEW HAVEN, CT
ZIP 06519
Phone: (203) 785-4198
Get Directions

Jack A Elias, MD is a pulmonary disease internal medicine in New Haven, CT. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Jack A Elias, MD NPI is 1053394114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

789 HOWARD AVE
FITKIN BUILDING - 2ND FLOOR
NEW HAVEN, CT
ZIP 06519-304
Phone: (203) 785-4198
Fax: (203) 785-3826

The enumeration date for this NPI number is 11/22/2005 and was last updated on 7/1/2008.

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	207RC0200X	Internal Medicine	Critical Care Medicine	030931	CONNECTICUT	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	030931	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
1	001309310	MEDICAID	CONNECTICUT
2	C29873	MEDICARE UPIN
3	290000211	MEDICARE ID-TYPE UNSPECIFIED	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: 4/28/2024

NPI Synchronization or Removal

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