Stony Creek Medical Group, LLC
NPI 1609204122ActiveOrganization· Internal Medicine· Orange, CT
Internal Medicine in Orange, Connecticut, registered in NPPES in October 2013. The authorized official on file is Mayumi Deanna Noda Young, Executive Director.
Overview
| NPI | 1609204122 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2013 |
| Last updated in NPPES | Oct 22, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 041818 | CT |
| Emergency Medicine | 207P00000X | 042996 | CT |
| Pediatrics | 208000000X | 041818 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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