Individual provider Active NPI

Sten H Vermund, MD, PHD

  • Public Health & General Preventive Medicine Physician
  • New Haven, CT
National Provider Identifier
1629005582
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
137172 Issued in NY
Practice address
60 College St RM 431
New Haven, CT 06510-3201
Phone
(615) 720-3677
Fax
(203) 785-6103
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 137172 NY
Public Health & General Preventive Medicine Physician 2083P0901X 137172 NY Primary

Addresses

Primary practice location

60 College St RM 431
New Haven, CT 06510-3201

Mailing address

60 College St RM 431
New Haven, CT 06510-3201
Phone (615) 720-3677

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
137172NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1629005582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COLLEGE ST RM 431",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103201",
            "telephone_number": "615-720-3677",
            "fax_number": "203-785-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COLLEGE ST RM 431",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103201",
            "telephone_number": "615-720-3677",
            "fax_number": "203-785-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMUND",
        "first_name": "STEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "137172",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "137172",
            "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 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.