NPI 1114211554 · live from the CMS NPI Registry
Jaime Lynn Bozentka, M.D.
Anesthesiology, Pediatric Anesthesiology in New Haven, CT. National Provider Identifier 1114211554, active.
NPI record
| NPI | 1114211554 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pediatric Anesthesiology 207LP3000X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-4242 |
| Mailing address | 20 Fair St Apt 630, New Haven, CT 06511 |
| Enumerated | June 2, 2011 |
| Last updated | September 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pediatric Anesthesiology | 207LP3000X | 036153164 (IL) |
| Anesthesiology, Pediatric Anesthesiology primary | 207LP3000X | 86235 (CT) |
| Anesthesiology, Pediatric Anesthesiology | 207LP3000X | TP381 (KY) |
| Anesthesiology, Pediatric Anesthesiology | 207LP3000X | ME155333 (FL) |
| Anesthesiology, Pediatric Anesthesiology | 207LP3000X | 35.823511 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.