STEPHANIE KYC
NPI 1053754705
Pediatrics in New Haven, CT

Active since April 12, 2013PECOS Enrolled
1 PARK ST, NEW HAVEN, CT 06504(203) 688-2320 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2022, Nov 12, 2019 (2 updates tracked since 2019).

About Stephanie Kyc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE KYC (NPI 1053754705) is an individual pediatrics provider in New Haven, Connecticut, licensed in Connecticut (72133) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1053754705
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTEPHANIE KYC
Location Address1 PARK STNew Haven, CT 06504-8901
Mailing Address1 Park StNew Haven, CT 06504-8901
Sole ProprietorNo
Enumeration DateApril 12, 2013
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1053754705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in CT · 72133 Licensed in NY · 298258
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 298258 (NY)
1 PARK ST, New Haven, CT 06504

Secondary Practice Location 1

Location 1101 Nicolls Rd # T11-060Stony Brook, NY 11794 · Phone (631) 444-7653

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Kyc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics
1 PARK ST
NEW HAVEN, CT 06504
Audiologist
1 PARK ST
NEW HAVEN, CT 06504
Dentist (Pediatric Dentistry)
1 PARK ST
NEW HAVEN, CT 06504
Nurse Practitioner (Pediatrics)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Pediatric Gastroenterology)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Pediatric Nephrology)
1 PARK ST
NEW HAVEN, CT 06504
General Acute Care Hospital (Children)
1 PARK ST
NEW HAVEN, CT 06504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Kyc's NPI number?

The NPI number for Stephanie Kyc is 1053754705. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Stephanie Kyc located?

Stephanie Kyc practices at 1 Park St, New Haven, CT 06504. The listed phone number is (203) 688-2320.

What is Stephanie Kyc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephanie Kyc enrolled in Medicare?

Yes. Stephanie Kyc is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Kyc was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.