Active NPI
Stephen J Kaye, MD
- Internal Medicine Physician
- Colchester, CT
National Provider Identifier
1235124272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017860
- Practice address
- 163 Broadway St
Colchester, CT 06415-1022 - Phone
- (860) 537-4601
- Fax
- (860) 537-6935
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 017860 | CT | |
| Internal Medicine Physician | 207R00000X | 017860 | CT | Primary |
Addresses
Primary practice location
163 Broadway St
Colchester, CT 06415-1022
Mailing address
112 Lafayette St
Norwich, CT 06360-2737
Phone (860) 537-4601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004167864 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skaye1238475@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017860 | CT | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1235124272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LAFAYETTE ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602737",
"telephone_number": "860-537-4601",
"fax_number": "860-537-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 BROADWAY ST",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151022",
"telephone_number": "860-537-4601",
"fax_number": "860-537-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYE",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CT",
"license": "017860",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "017860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004167864",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skaye1238475@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1108 June St",
"city": "Hood River",
"state": "OR",
"country_code": "US",
"postal_code": "970311513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.