1. Home
  2. Directory
  3. Connecticut
  4. Stamford
  5. Nurse Practitioner
  6. NPI Profile

SOOHYUN NAM
NPI 1982769600
Nurse Practitioner - Primary Care in Stamford, CT

Active since December 22, 2006PECOS Enrolled
30 BUXTON FARM RD, STAMFORD, CT 06905(203) 322-3221 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Soohyun Nam NPPES

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

SOOHYUN NAM (NPI 1982769600) is an individual primary care provider in Stamford, Connecticut, licensed in Connecticut (005075) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982769600
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSOOHYUN NAM
Location Address30 BUXTON FARM RDStamford, CT 06905
Mailing Address30 Buxton Farm RdStamford, CT 06905-1224
Phone(203) 322-3221
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateDecember 2, 2015
✔ NPI 1982769600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CT · 005075
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 005075 (CT)
30 BUXTON FARM RD, Stamford, CT 06905
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soohyun Nam 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 06905 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.

LINDSAY MEYER FNP- BC
Nurse Practitioner (Family)
30 BUXTON FARM RD
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 322-3221
ALEXANDRA VAN DUYNE BCBA
Behavior Analyst
30 BUXTON FARM RD
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 674-8200
KEMPTON BRISPORT MSW
Social Worker (Clinical)
30 BUXTON FARM RD
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 212-4191
MR. ERIC R DIAMOND MS.ED, BCBA
Behavior Analyst
30 BUXTON FARM RD, SUITE 105
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 674-8200
MEGAN ARTHUR MASK PA-C
Physician Assistant (Medical)
30 BUXTON FARM RD
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 322-7070
CAMERON BELLIVEAU
Occupational Therapist
30 BUXTON FARM RD
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 258-6414
JENNIFER JOYCE STREET M.ED
Behavior Analyst
30 BUXTON FARM RD
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 674-8200
SAMANTHA IESHA COMRIE
Speech-Language Pathologist
30 BUXTON FARM RD
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 212-4191

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 Soohyun Nam's NPI number?

The NPI number for Soohyun Nam is 1982769600. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Soohyun Nam located?

Soohyun Nam practices at 30 Buxton Farm Rd, Stamford, CT 06905. The listed phone number is (203) 322-3221.

What is Soohyun Nam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Soohyun Nam enrolled in Medicare?

Yes. Soohyun Nam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soohyun Nam was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.