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SUSAN K DESTEFANO APRN
NPI 1225756752
Nurse Practitioner - Gerontology in New Haven, CT

Active since August 19, 2022
20 YORK ST, NEW HAVEN, CT 06510(203) 688-2207(203) 688-9354 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan K Destefano Aprn NPPES

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

SUSAN K DESTEFANO APRN (NPI 1225756752) is an individual gerontology provider in New Haven, Connecticut, licensed in Connecticut (10869) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1225756752
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSUSAN K DESTEFANOCredential: APRN
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 Ronald DrFairfield, CT 06825-3627 · (203) 231-3811 · Fax (203) 688-9354
Phone(203) 688-2207
Fax(203) 688-9354
Sole ProprietorNo
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1225756752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 10869
20 YORK ST, New Haven, CT 06510
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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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Susan Destefano's NPI number?

The NPI number for Susan Destefano is 1225756752. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Susan Destefano located?

Susan Destefano practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-2207.

What is Susan Destefano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Susan Destefano was last updated on August 19, 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.