STEPHANIE LYNN SAMUELS


Address: 1 Park St, New Haven, CT 06504-8901
Phone: 6175489759

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
34th and Civic Center Boulevard, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 (215) 590-3174 2155903053

Other Providers STEPHANIE SAMUELS

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

Office Location

Street Address 1 PARK ST
City NEW HAVEN
State CT
Zip Code 06504-8901

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City NEW HAVEN
Zip Code 06504

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Dataset Information

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.

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