Active NPI
Leroi Stephenson, M.D.
- Anesthesiology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 048844
- Practice address
- 333 Cedar St
TMP 3
New Haven, CT 06510-3206 - Phone
- (203) 785-2802
- NPI assigned
- Apr 24, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 235862 | NY | |
| Anesthesiology Physician | 207L00000X | 048844 | CT | Primary |
Addresses
Primary practice location
333 Cedar St
TMP 3
New Haven, CT 06510-3206
Mailing address
333 Cedar St
TMP 3
New Haven, CT 06510-3206
Phone (203) 785-2802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840
99 Hwy 37 W
Community Medical Center
Toms River, NJ 08755-6423
Phone (732) 557-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048844 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Anesthesiology | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Anesthesiology | Current | Accepting new patients |
| Physicians of University Hospital, PC | Anesthesiology | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Anesthesiology | Current | Accepting new patients |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Anesthesiology | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Anesthesiology | Current | Accepting new patients |
Locations
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
301 N Main St
Ste 2
New City, NY 10956
Phone (845) 638-0040
210 E 64th St
New York, NY 10065
Phone (212) 434-4312
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
210 E 64th St
Fl 5
New York, NY 10065
Phone (212) 434-2700
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lstephenson1296432@nychhc.direct-ci.com
Organizations & group practices 10
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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Anesthesiology
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Anesthesiology
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Anesthesiology Physician
- New York, NY
- NPI 1992200075
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Anesthesiology
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1598909384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "TMP 3",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "TMP 3",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "LEROI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-24",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "235862",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "048844",
"primary": true
}
],
"identifiers": [],
"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 Jun 28, 2010; 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.