Active NPIIndividual providerSole proprietor

Dr. Jennie T Stanford, MD

Family Medicine in New Canaan, Connecticut

NPI Number1588028153
Practice location
69 Grove St, New Canaan, CT 06840-5325
Fax
833-929-3520
Last updated
July 24, 2026

Jennie Thomas Stanford is a Family Medicine based in New Canaan, CT. Jennie Thomas Stanford practices in New Canaan, CT and has the professional credentials of MD. The NPI Number for Jennie Thomas Stanford is 1588028153 and holds a License No. 26586 (MS). The current practice location address for Jennie Thomas Stanford is 69 Grove St, New Canaan, CT 06840-5325 and can be reached out via phone at 844-359-8363 and via fax at 833-929-3520.

Provider Profile Details

NPI Number
1588028153
Provider Name
Jennie Thomas Stanford
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
69 Grove St, New Canaan, CT 06840-5325
Phone Number
844-359-8363
Fax Number
833-929-3520
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 11, 2016
Last Update Date
July 24, 2026
Certification Date
July 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Grove St
New Canaan, CT 06840-5325
Zip
06840-5325
Phone Number
844-359-8363
Fax Number
833-929-3520
New Canaan, CT 06840Get directions →

Provider Business Mailing Address Details

Address
69 Grove St
New Canaan, CT 06840-5325
City
New Canaan
State
CT
Zip
06840-5325
Phone Number
844-359-8363
Fax Number
833-929-3520

License Information

License Number (1)
26586
License State (1)
MS
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
1992372403
License State (2)
CT
Taxonomy (2)
Clinic/Center, Medical Specialty · 261QM2500X
License Number (3)
1992372403
License State (3)
NJ
Taxonomy (3)
Clinic/Center, Medical Specialty · 261QM2500X
License Number (4)
1043889967
License State (4)
NY
Taxonomy (4)
Clinic/Center · 261Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jennie T Stanford, MD?

The NPI number of Dr. Jennie T Stanford, MD is 1588028153. It was assigned on April 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennie T Stanford, MD?

Dr. Jennie T Stanford, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MS under license number 26586.

Where does Dr. Jennie T Stanford, MD practice?

The practice location is 69 Grove St, New Canaan, CT 06840-5325. The office can be reached at 844-359-8363 (phone) or 833-929-3520 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588028153 directly on the NPPES registry website.

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