DR. JENNIE THOMAS STANFORD M.D. NPI 1588028153

NPI Information

NPI: 1588028153
Provider Name: DR. JENNIE THOMAS STANFORD, M.D.
Classification: Clinic/Center - 261Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 69 GROVE ST
NEW CANAAN, CT
ZIP 06840
Phone: (844) 359-8363

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NPI Details

DR. Jennie Thomas Stanford, M.D. is a clinic center in New Canaan, CT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR. Jennie Thomas Stanford, M.D. NPI is 1588028153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

69 GROVE ST
NEW CANAAN, CT
ZIP 06840-325
Phone: (844) 359-8363
Fax: (833) 929-3520

The NPI 1588028153 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Hospital discharge day management, more than 30 minutes (HCPCS:99239)
Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
Hospital observation care on day of discharge (HCPCS:99217)
Follow-up observation care per day, typically 25 minutes (HCPCS:99225)
Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)

The enumeration date for this NPI number is 4/11/2016 and was last updated on 7/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	1992372403	NEW JERSEY	No
2	261QM2500X	Clinic/Center	Medical Specialty	1992372403	CONNECTICUT	No
3	261Q00000X	Clinic/Center		1043889967	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07129501	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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