Individual provider Active NPI

Stefanie Parks

  • Obstetrics Physician
  • New London, CT
National Provider Identifier
1750775847
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
63005 Issued in CT
Practice address
3 Shaws CV Ste 206
New London, CT 06320-4968
Phone
(860) 443-4148
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 63005 CT Primary

Addresses

Primary practice location

3 Shaws CV Ste 206
New London, CT 06320-4968

Mailing address

1401 Gilpin Ave
Wilmington, DE 19806-3220
Phone (203) 430-1954

Other practice location 1

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (203) 430-1954

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
I20190710001038 CT Practitioner - Obstetrics/Gynecology 5496066185 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Connecticut PCGroup PAC ID 5890164792, 8 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (864) 908-3530

3 Shaws CV
New London, CT 06320-4952
Phone (860) 443-4148

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Connecticut PC Single Specialty CurrentSince Aug 2, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Oct 1, 2024 Accepting new patients
Northeast Medical Group, Inc. Single Specialty CurrentSince Jul 15, 2019 Accepting new patients
Starling Physicians PLLC CurrentSince May 30, 2025 Accepting new patients
Starling Physicians, PLLC Single Specialty CurrentSince May 30, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

100 Grand St
Fl 1
New Britain, CT 06052
Phone (860) 224-5011

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

3 Shaws Cv
New London, CT 06320
Phone (860) 442-0400

3 Shaws Cv
Ste 206
New London, CT 06320
Phone (860) 443-0622

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: sparks429462@direct.ynhh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1750775847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GILPIN AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063220",
            "telephone_number": "203-430-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHAWS CV STE 206",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204968",
            "telephone_number": "860-443-4148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "203-430-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "STEFANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CT",
            "license": "63005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.