Individual provider Active NPI

Harvey Stern, M.D.

  • Pediatric Anesthesiology Physician
  • New Haven, CT
National Provider Identifier
1700839800
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
30775 Issued in CT
Practice address
333 Cedar St., TMP 3
Yale University Department of Anesthesiology
New Haven, CT 06520-8051
Phone
(203) 785-2802
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X 30775 CT Primary
Anesthesiology Physician 207L00000X 30775 CT

Addresses

Primary practice location

333 Cedar St., TMP 3
Yale University Department of Anesthesiology
New Haven, CT 06520-8051

Mailing address

333 Cedar St., TMP 3
Yale University Department of Anesthesiology
New Haven, CT 06520-8051
Phone (203) 785-2802

Other identifiers 1

IdentifierTypeStateIssuer
1008393980001MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000302 CT Practitioner - Anesthesiology 0345144762 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Anesthesiology LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Yale University Anesthesiology CurrentSince Dec 18, 2016 Accepting new patients
Yale University CurrentSince Dec 18, 2016 Accepting new patients
Anesthesia Associates of Willimantic PC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Anesthesiology Past Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

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

333 Cedar St
#3
New Haven, CT 06510
Phone (203) 737-1549

20 York St
North Haven, CT 06510
Phone (203) 688-2433

37 Kennedy Dr
Ste C
Putnam, CT 06260
Phone (860) 423-7558

1185 Main St
Ste 4
Willimantic, CT 06226
Phone (860) 423-7556

1185 Main St
Willimantic, CT 06226
Phone (860) 423-7558

Organizations & group practices 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1700839800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST., TMP 3",
            "address_2": "YALE UNIVERSITY DEPARTMENT OF ANESTHESIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208051",
            "telephone_number": "203-785-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST., TMP 3",
            "address_2": "YALE UNIVERSITY DEPARTMENT OF ANESTHESIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208051",
            "telephone_number": "203-785-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CT",
            "license": "30775",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "30775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008393980001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.