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Deactivated NPI 1336275791 Deactivated / Inactive NPI Male Practitioner

Stephen C Edberg , ABMM

Specialist • New Haven, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Edberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2007
NPI Deactivation Date April 03, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Stephen Edberg, ABMM was a registered Specialist practicing in New Haven, CT. Throughout an active medical career spanning 10 years, Stephen Edberg provided care at the practice location at 20 YORK ST until profile deactivation on 2017-04-03.

Practice Location & Contact Primary Location

Practice Address

20 York St
Cb612 Yak New Haven Hosp Clinical Microbiology Laborato

New Haven, CT 06504

Telephone 2036882457
Fax 2036884170
Associated Practice Facility / Clinic
🏢 Yale New Haven Hospital Facility NPI 1336139500

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in New Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
21 Specialists

Practicing in New Haven, CT (452 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Audrey Senior , APRN

Nurse Practitioner - Family

NPI 1003048869

Advanced Practice Registered Nurse

Dr. Yeisid Figueredo , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003078379

Doctor of Medicine (M.D.)

Taylor Kingston

Dietitian, Registered

NPI 1003289083
NPI 1003311705

Doctor of Medicine (M.D.)

Dr. Neeharika Thottempudi , MBBS

Psychiatry & Neurology - Neurology

NPI 1003313511

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Teresa Joseph , DO

Internal Medicine - Nephrology

NPI 1003341470

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2017

Record deactivated on April 03, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 20 YORK ST, CB612 YAK NEW HAVEN HOSP CLINICAL MICROBIOLOGY LABORATO, NEW HAVEN, CT 06504 (Tel: 2036882457)

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Updated Business Mailing Address July 08, 2007

Registered at 20 YORK ST, CB612 YAK NEW HAVEN HOSP CLINICAL MICROBIOLOGY LABORATO, NEW HAVEN, CT 06504 (Tel: 2036882457)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN EDBERG, ABMM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist

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Initial NPI Registration & Enumeration February 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336275791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: July 08, 2007
Deactivation Date: April 03, 2017

Mailing Address

20 York St, Cb612 Yak New Haven Hosp Clinical Microbiology Laborato

New Haven, CT 06504

Phone: 2036882457

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.