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STONY CREEK MEDICAL GROUP, LLC
NPI 1609204122
Internal Medicine in Orange, CT

Active since October 18, 2013
236 BOSTON POST RD, ORANGE, CT 06477(203) 815-1054(203) 298-9874 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stony Creek Medical Group, Llc NPPES

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

STONY CREEK MEDICAL GROUP, LLC (NPI 1609204122) is a healthcare organization registered as an internal medicine in Orange, Connecticut and active in the NPI registry since October 2013. The organization lists Mayumi Deanna Noda Young, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609204122
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTONY CREEK MEDICAL GROUP, LLC
Location Address236 BOSTON POST RDOrange, CT 06477-3236
Mailing Address6 Business Park Dr, Suite 302Branford, CT 06405-2988 · (203) 980-1359 · Fax (203) 483-4581
Phone(203) 815-1054
Fax(203) 298-9874
Organization SubpartNo
Authorized OfficialMayumi Deanna Noda YoungExecutive Director · (203) 483-4580
Enumeration DateOctober 18, 2013
Last NPPES UpdateOctober 22, 2013
✔ NPI 1609204122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 041818
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 042996 (CT)
Also ListedPediatricsTaxonomy 208000000X · License 041818 (CT)
236 BOSTON POST RD, Orange, CT 06477
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

DR. ARMIN PAUL THIES PH.D., ABPP-CN
Psychologist (Clinical)
236 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 891-8762
MS. CONSTANCE CATRONE MSW
Social Worker (Clinical)
236 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-1118
URGENT CARE OF ORANGE CT, LLC
Clinic/Center
236 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (860) 650-3848
ACHIEVE WELLNESS, LLC
Social Worker (Clinical)
236 BOSTON POST RD, SUITE 8
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 767-9966
LIFESPRING, LLC
Social Worker (Clinical)
236 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 687-3096
BOSTON BRACE INTERNATIONAL INC.
Prosthetic/Orthotic Supplier
236 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (475) 234-0800
MR. THOMAS H CALDER LCSW
Social Worker (Clinical)
236 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 878-1246
DR. THOMAS MICHAEL FAHY PSY.D.
Psychologist (Clinical)
236 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 410-0745

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 Stony Creek Medical Group, LLC's NPI number?

The NPI number for Stony Creek Medical Group, LLC is 1609204122. It was assigned to this organization in the NPPES registry on October 18, 2013.

Where is Stony Creek Medical Group, LLC located?

Stony Creek Medical Group, LLC is located at 236 Boston Post Rd, Orange, CT 06477. The listed phone number is (203) 815-1054.

What is Stony Creek Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Stony Creek Medical Group, LLC was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.