Active NPI
Stephan Ariyan, M.D.
- Plastic and Reconstructive Surgery Physician
- New Haven, CT
National Provider Identifier
1578583282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 013681
- Practice address
- 60 Temple St Ste 7C
New Haven, CT 06510-2716 - Phone
- (203) 786-3000
- Fax
- (203) 772-2814
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 013681 | CT | Primary |
Addresses
Primary practice location
60 Temple St Ste 7C
New Haven, CT 06510-2716
Mailing address
60 Temple St Ste 4B
New Haven, CT 06510-2716
Phone (203) 786-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001136811 | Medicaid | CT |
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 |
|---|---|---|---|
| 013681 | CT | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevation Plastic Surgery, PC | Past | Accepting new patients | |
| Yale University | Past | Accepting new patients |
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.
-
- Plastic Surgery Physician
- New Haven, CT
- NPI 1073755443
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1578583282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 TEMPLE ST STE 4B",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102716",
"telephone_number": "203-786-3000",
"fax_number": "203-772-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TEMPLE ST STE 7C",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102716",
"telephone_number": "203-786-3000",
"fax_number": "203-772-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIYAN",
"first_name": "STEPHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CT",
"license": "013681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001136811",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.