Stony Creek Medical Group, LLC
NPI 1609204122 · Internal Medicine Physician · Orange, CT
Stony Creek Medical Group, LLC is a Internal Medicine Physician organization in Orange, CT (NPI 1609204122).
Provider details
- NPI number
- 1609204122
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mayumi Deanna Young, Executive Director(203) 483-4580
- License
- 042996 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-10-18
- Last updated
- 2013-10-22
Frequently asked questions
- What is Stony Creek Medical Group, LLC's NPI number?
- Stony Creek Medical Group, LLC's National Provider Identifier (NPI) is 1609204122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stony Creek Medical Group, LLC?
- Stony Creek Medical Group, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stony Creek Medical Group, LLC located?
- Stony Creek Medical Group, LLC's practice location on file with NPPES is 236 Boston Post Rd, Orange, CT 06477-3236.
- What is Stony Creek Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Stony Creek Medical Group, LLC is (203) 815-1054.
- Who is the authorized official for Stony Creek Medical Group, LLC?
- The authorized official listed on Stony Creek Medical Group, LLC's NPPES record is Mayumi Deanna Young, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stony Creek Medical Group, LLC's NPI active?
- Yes — Stony Creek Medical Group, LLC's NPI (1609204122) is active in the NPPES registry as of the last update on 2013-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.