STEPHANIE PHILLIPS (NPI# 1710370135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710370135 |
| Entity Type | Individual |
| Full Name | STEPHANIE PHILLIPS |
| Credential | PA-C |
| Practice Address |
777 E Route 70 # G-101 Marlton NJ 08053-2341 |
| Practice Telephone | 8569839939 |
| Practice Fax Number | 8569839936 |
| Mailing Telephone | 8569839939 |
| Mailing Fax Number | 8569839936 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00361800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ PHYSICIAN ASSISTANT LICENSE | 25MP00361800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658010 | Stephanie Erin Phillips | Counselor | 1227 N Franklin St, Colorado Springs, CO 80903-2525 | 2018-02-08 |
| 1902320864 | Stephanie Marie Phillips | Nurse Practitioner | 18211 Pines Blvd, Pembroke Pines, FL 33029-1417 | 2017-08-01 |
| 1912324690 | Stephanie Kay Phillips | Massage Therapist | 6975 Westwyck Dr, Whitehouse, OH 43571-9616 | 2014-03-19 |
| 1639516990 | Stephanie Ann Phillips | Social Worker | 7565 Granger Rd, Suite B, Cleveland, OH 44125-4818 | 2013-05-28 |
| 1982901468 | Stephanie Phillips | Counselor | 1811 Queen Anne Ave N Ste 202, Seattle, WA 98109-2850 | 2011-02-18 |
| 1639406085 | Stephanie Ellen Phillips | Speech-Language Pathologist | 636 Laconia Ave, Staten Island, NY 10306-5228 | 2009-11-05 |
| 1528391232 | Stephanie Marie Phillips | Registered Nurse | 1640 Oak Park Blvd, Pleasant Hill, CA 94523-4422 | 2009-09-13 |
| 1699983650 | Stephanie Barbara Phillips | Podiatrist | 140 Einstein Loop, Suite 13d, Bronx, NY 10475-4903 | 2007-05-21 |
| 1538203195 | Stephanie Phillips | Dentist | 1123 Winding Branch Cir, Dunwoody, GA 30338-3915 | 2007-02-16 |
| 1861460883 | Stephanie Phillips | Family Medicine | 1100 Rutherford Rd Ste B, Greenville, SC 29609-3927 | 2006-03-08 |
| Street Address |
777 E ROUTE 70 # G-101 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154440774 | Jennifer Marie Windstein | Physician Assistant | 733 E Route 70 Ste 201, Marlton, NJ 08053-2335 | 2007-03-28 |
| 1114236221 | Melissa Kline | Physician Assistant | 402 Lippincott Dr, Marlton, NJ 08053-4112 | 2010-10-07 |
| 1235313586 | Jane Fowler | Physician Assistant | 534 Lippincott Dr, Marlton, NJ 08053 | 2007-12-21 |
| 1508803958 | Christine Ann Priest I | Physician Assistant | 127 Church Rd, 100, Marlton, NJ 08053-9402 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.