NPIMap

Organization Active NPI

Stella Medical Care LLC

  • Adult Health Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1255851481
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
STELLA MEDICAL CARE LLC
Practice address
Villa at Stamford 88 Rock Rimmon Rd
Stamford, CT 06903
Phone
(203) 912-7807
Fax
(203) 358-9775
NPI assigned
Jun 20, 2017
Last updated
Mar 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jack Diteodoro, MDNPI 1346338837
Title
Manager
Phone
(203) 912-7807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4729 CT
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

Villa at Stamford 88 Rock Rimmon Rd
Stamford, CT 06903

Mailing address

34 Lawrence Hill Rd
Stamford, CT 06903
Phone (203) 912-7807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180710000903 CT Part B Supplier - Clinic/Group Practice 2769738566 Receives reassigned benefits from 20 practitioners
Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1255851481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LAWRENCE HILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06903",
            "telephone_number": "203-912-7807",
            "fax_number": "203-358-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA AT STAMFORD 88 ROCK RIMMON RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06903",
            "telephone_number": "203-912-7807",
            "fax_number": "203-358-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A",
        "authorized_official_last_name": "DITEODORO",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-912-7807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "4729",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.