Active NPI
Harvey Stern, M.D.
- Pediatric Anesthesiology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 30775
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008393980001 | Medicaid | CT |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charter Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Yale University | Anesthesiology | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Anesthesia Associates of Willimantic PC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Willimantic, CT
- NPI 1306905799
-
- Anesthesiology Physician
- West Hartford, CT
- NPI 1730674532
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
-
dba Anesthesiology Services of CPMC
- Anesthesiology Physician
- New York, NY
- NPI 1841239829
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.