Individual provider Active NPI

Stephanie Albin Leeds, M.D.

  • Allergy & Immunology Physician
  • New Haven, CT
National Provider Identifier
1467682773
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
64318 Issued in CT
Practice address
789 Howard Ave
New Haven, CT 06519
Phone
(203) 785-2480
Fax
(203) 785-6337
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 64318 CT Primary

Addresses

Primary practice location

789 Howard Ave
New Haven, CT 06519

Mailing address

789 Howard Ave
New Haven, CT 06519-1304
Phone (203) 785-2480

Other practice location 1

1425 Madison Ave
Room 11-20
New York, NY 10029-6514
Phone (212) 659-9261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150917000025 NY Practitioner - Allergy/Immunology 3375850746 Reassigns benefits to 1 organization
I20191018000515 CT Practitioner - Allergy/Immunology 3375850746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64318CTMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Sep 28, 2019 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. Allergy & Immunology CurrentSince Mar 1, 2017 Accepting new patients
Yale University Pediatrics CurrentSince Sep 28, 2019 Accepting new patients

Locations

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1 Park St
North Haven, CT 06504
Phone (203) 785-4643

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

1600 Harrison Ave
Ste 304
Mamaroneck, NY 10543
Phone (914) 777-1179

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

Interoperability endpoints

  • Direct secure messaging: sleeds377965@direct.ynhh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1467682773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191304",
            "telephone_number": "203-785-2480",
            "fax_number": "203-785-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06519",
            "telephone_number": "203-785-2480",
            "fax_number": "203-785-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Madison Ave",
            "address_2": "Room 11-20",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296514",
            "country_code": "US",
            "telephone_number": "212-659-9261",
            "fax_number": "212-987-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "STEPHANIE",
        "middle_name": "ALBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "64318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.