Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Agegnehu Fetene

Individual provider Internal Medicine Physician · NPI 1194309120

Jonathan Agegnehu Fetene is an Internal Medicine in New Haven, Connecticut. Graduated from University of Connecticut School of Medicine in 2021, 5 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Trained at
University of Connecticut School of Medicine
Licensed in
CT
In the registry since
2021
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 78852 (CT)

Record details

NPI number1194309120
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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