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NPISignal

Individual Healthcare Provider

Jerusha E Stahl, MD

NPI Record: ActiveInternal Medicine
NPI1083894638
New Canaan, Connecticut

Provider's NPPES record last updated: November 16, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1083894638
Primary Specialty
Internal Medicine
Practice Location
New Canaan, Connecticut
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:23 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207R00000X
  • Clinic/Center

    Medical Specialty

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

    Taxonomy code 261QM2500X

Provider-Reported License Information

Internal Medicine (Connecticut)
76444
Internal Medicine (Oregon)
214779
Internal Medicine (Washington)
61425057
Internal Medicine (California)
A101309
Clinic/Center (Connecticut)
1992372403
Clinic/Center (New Jersey)
1992372403
Clinic/Center (New York)
1043889967
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

69 Grove St

New Canaan, Connecticut 06840-5325

Phone: (844) 359-8363

Additional Practice Location

148 E 38th St

New York, New York 10016-2607

Phone: (833) 955-3592

Additional Practice Location

500 W Main St Ste 16

Wyckoff, New Jersey 07481-1406

Phone: (844) 359-8363

Record Information

Enumeration Date
November 13, 2007
Provider's NPPES Record Last Updated
November 16, 2023
Certification Date
November 16, 2023
NPISignal NPPES Dataset
August 2026

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