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NPISignal

Individual Healthcare Provider

Jennie Thomas Stanford, M.D.

NPI Record: ActiveFamily Medicine
NPI1588028153
New Canaan, Connecticut

Provider's NPPES record last updated: July 24, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1588028153
Primary Specialty
Family 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 18, 2026, 6:52 PM 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

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • 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
  • Clinic/Center

    Ambulatory Health Care Facilities

    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

    Taxonomy code 261Q00000X

Provider-Reported License Information

Family Medicine (Mississippi)
26586
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

500 W Main St Ste 16

Wyckoff, New Jersey 07481-1406

Phone: (844) 359-8363

Fax: (833) 929-3520

Additional Practice Location

148 E 38th St

New York, New York 10016-2607

Phone: (844) 359-8363

Fax: (833) 955-3592

Record Information

Enumeration Date
April 11, 2016
Provider's NPPES Record Last Updated
July 24, 2026
Certification Date
July 24, 2026
NPISignal NPPES Dataset
August 2026

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