STEPHANIE LYNN SAMUELS (NPI# 1194084541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194084541 |
Entity Type | Individual |
Full Name | STEPHANIE LYNN SAMUELS |
Credential | M.D. |
Practice Address |
1 Park St New Haven CT 06504-8901 |
Mailing Address |
34th and Civic Center Boulevard The Children's Hospital of Philadelphia Philadelphia PA 19104 |
Practice Telephone | 6175489759 |
Mailing Telephone | 2155903174 |
Mailing Fax Number | 2155903053 |
Enumeration Date | 2012-05-04 |
Last Update Date | 2019-08-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
064059 | CT | Allopathic & Osteopathic Physicians |
N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
MT208972 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
34th and Civic Center Boulevard, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 | (215) 590-3174 | 2155903053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679734651 | Stephanie Joan Samuels | Psychiatry & Neurology | 25 Gilbert Dr, Hyde Park, NY 12538-2431 | 2008-06-22 |
1710205521 | Stephanie Samuels | Physician Assistant | 408 W 14th St, Suite 201, New York, NY 10014-1042 | 2010-05-04 |
1831254473 | Stephanie Samuels | Social Worker | 501 Iron Bridge Rd, Suite 6, Freehold, NJ 07728-5304 | 2006-12-26 |
Street Address |
1 PARK ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06504-8901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063493914 | Leonel A Rodriguez | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2005-11-08 |
1316564347 | Danielle Hegarty | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-06-25 |
1902436678 | Katherine Farnsworth | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-01-22 |
1043863608 | Jennifer Grise | Registered Nurse | 1 Park St, New Haven, CT 06504-8901 | 2019-07-22 |
1023574845 | Sleepy Smiles Ct LLC | Dentist | 1 Park St, New Haven, CT 06504-8901 | 2019-02-17 |
1871069559 | Stephanie Fiorentino | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2018-10-19 |
1780112292 | Paul Andrew Wontroski | Student in an Organized Health Care Education/Training Program | 1 Park St, New Haven, CT 06504-8901 | 2017-05-28 |
1770945677 | Avital Brena Ludomirsky | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2016-03-22 |
1003295023 | Danice Kuruvilla | Pediatrics | 1 Park St, New Haven, CT 06504 | 2015-05-22 |
1326432469 | Katherine Allen Nash | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2015-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
1821135187 | Jorge E Dotto | Pathology | Yale New Haven Hosp - Pathology, 20 York Street, Cp2-631, New Haven, CT 06504 | 2007-01-30 |
1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
1790729507 | Cynthia Anne Nielsen | Social Worker | 20 York St., Yale-new Haven Hospital, New Haven, CT 06504 | 2006-06-15 |
1023051901 | Michele N. Nyman Harris | Social Worker | Yale-new Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-06-14 |
1386627503 | Kerstin Elizabeth Calia | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06504 | 2005-11-22 |
1598761546 | Edward Francois | Internal Medicine | 20 York Street Cb 2041, New Haven, CT 06504 | 2005-06-23 |
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Taxonomy Code | 2080P0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Endocrinology |
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174720957 | Stephan Siebel | Pediatrics | 330 Cedar St # 3103, New Haven, CT 06510-3218 | 2007-06-27 |
1417300203 | Apoorva Ravindranath Waikar | Pediatrics | 20 York St Dept Of, New Haven, CT 06510-3220 | 2016-07-18 |
1578975488 | Kelly Joseph | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2014-05-27 |
1376986711 | Jennifer Sarhis Avigdor | Pediatrics | 20 York St, Ynhh Dept Pediatric Endocrinology, New Haven, CT 06510-3220 | 2013-04-16 |
1346521531 | Lisa Michelle Cruz-aviles | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2011-09-01 |
1265738389 | Cemre Robinson | Pediatrics | 15 York St, New Haven, CT 06510-3221 | 2011-02-07 |
1851628358 | Anisha D. Patel | Pediatrics | 1 Long Wharf Dr, 2nd Floor, New Haven, CT 06511-5991 | 2009-11-04 |
1811163363 | Michelle Anne Van Name | Pediatrics | 1 Long Wharf Dr, Suite 503, New Haven, CT 06511-5991 | 2008-05-05 |
1851581045 | Eda Cengiz | Pediatrics | 333 Cedar St, Lmp 3103, New Haven, CT 06510-3206 | 2007-07-25 |
1841496676 | Karena L Swan | Pediatrics | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2007-06-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.