Active NPI
Stephanie Foster, DO
- Pediatrics Physician
- Middletown, CT
National Provider Identifier
1134706690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 78133
- Practice address
- 400 Saybrook Rd Ste 206
Middletown, CT 06457-4775 - Phone
- (860) 344-0333
- NPI assigned
- Mar 29, 2021
- Last updated
- Jul 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 78133 | CT | Primary |
Addresses
Primary practice location
400 Saybrook Rd Ste 206
Middletown, CT 06457-4775
Mailing address
12 Pine RDG
Woodbridge, CT 06525-1815
Phone (203) 980-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78133 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Pediatrics | Current | Accepting new patients |
Locations
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
400 Saybrook Rd
Ste 206
Middletown, CT 06457
Phone (860) 344-0333
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1134706690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PINE RDG",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065251815",
"telephone_number": "203-980-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAYBROOK RD STE 206",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574775",
"telephone_number": "860-344-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "STEPHANIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "78133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.