Active NPI
Stacey Lauren June, D.O.
- Plastic and Reconstructive Surgery Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 64026
- Practice address
- 107 Newtown Road Suite 2C
Danbury, CT 06810 - Phone
- (203) 791-9661
- Fax
- (203) 730-4162
- NPI assigned
- Jan 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | OS015194 | PA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 64026 | CT | Primary |
Addresses
Primary practice location
107 Newtown Road Suite 2C
Danbury, CT 06810
Mailing address
107 Newtown Road Suite 2C
Danbury, CT 06810-4146
Phone (203) 791-9661
Other practice location 1
2603 Keiser Blvd
Ste207
Wyomissing, PA 19610-3341
Phone (610) 678-9200
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
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Newtown Rd
Suite 2a
Danbury, CT 06810-4151
Phone (203) 830-4700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 19 |
| Melanoma (skin cancer) excision | 94 |
| Removal of tissue | 16 |
| Removal of skin lesions | 12 |
| Removal or shaving of skin growth | 18 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64026 | CT | MD | Plastic and Reconstructive Surgery Physician |
| OS015194 | PA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Specialty Care, P.C. | Current | Accepting new patients | |
| Advanced Audiology & Hearing Aid Services | Past | Accepting new patients |
Locations
107 Newtown Rd
Ste 2C
Danbury, CT 06810
Phone (203) 791-9661
107 Newtown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 830-4700
901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- stacey.junedo.p1@direct.asc.nextgenshare.com
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Danbury, CT
- NPI 1053340943
-
- Audiologist
- Danbury, CT
- NPI 1861677031
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1568609121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NEWTOWN ROAD SUITE 2C",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104146",
"telephone_number": "203-791-9661",
"fax_number": "203-730-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NEWTOWN ROAD SUITE 2C",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-791-9661",
"fax_number": "203-730-4162"
}
],
"practiceLocations": [
{
"address_1": "2603 Keiser Blvd",
"address_2": "Ste207",
"address_purpose": "LOCATION",
"city": "Wyomissing",
"state": "PA",
"postal_code": "196103341",
"country_code": "US",
"telephone_number": "610-678-9200",
"fax_number": "610-678-9291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNE",
"first_name": "STACEY",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-19",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "OS015194",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CT",
"license": "64026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.