DR. STEPHANIE DEJESUS (NPI# 1992274245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992274245 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE DEJESUS |
| Credential | RN, APN, AGACNP-BC |
| Practice Address |
141 Route 70 E Ste B Marlton NJ 08053-1855 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8565969057 |
| Practice Fax Number | 8565960837 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NR12453000 | NJ | Nursing Service Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
26NJ00835000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Marter Ave Ste 508, Moorestown, NJ 080573120 | 8562354656 | 8562354786 |
| 141 Route 70 E Ste B, Marlton, NJ 080531855 | 8565969057 | |
| 175 Madison Ave, Mount Holly, NJ 080602038 | 6099146000 | |
| 239 Hurffville Crosskeys Rd Ste 360a, Sewell, NJ 080804002 | 8563418390 | 8563418179 |
| Street Address |
141 ROUTE 70 E STE B |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417947094 | Angel V Rodis | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2005-10-25 |
| 1902417363 | Kaitlin Burns | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2020-08-11 |
| 1184269102 | Edward George Norton Jr. | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2019-11-13 |
| 1144889759 | Alexander P Gablin | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2019-06-07 |
| 1932676921 | Alexandra Lee Meyer | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2018-10-27 |
| 1427594175 | Lori J Ciavaglia | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2017-01-18 |
| 1801254248 | Andrew Schiff | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2016-01-31 |
| 1467757815 | Mindy Patterson | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2011-01-17 |
| 1104072727 | Syed Ali Riaz | Anesthesiology | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2008-08-14 |
| 1346401023 | Brian Jaffe | Internal Medicine | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2008-06-24 |
| Find all providers in the same location | ||||
| 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 | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671173 | Alyson Heller | Nurse Practitioner | 141 Route 70, Renaissance Square, Suite B, Marlton, NJ 08053 | 2020-02-20 |
| 1467757815 | Mindy Patterson | Nurse Practitioner | 141 Route 70 E Ste B, Marlton, NJ 08053-1855 | 2011-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992199434 | Catherine M Fitzgerald | Nurse Practitioner | 159 Owens Station Rd, Sussex, NJ 07461-4605 | 2015-03-23 |
| 1528070695 | Carmen Perez | Nurse Practitioner | 2204 Arvell St, Toms River, NJ 08755-1375 | 2006-08-13 |
| 1053346262 | Lauren Michele De Lucia | Nurse Practitioner | 7617 Kennedy Blvd, North Bergen, NJ 07047-4024 | 2006-07-12 |
| 1548222391 | Elaine Veronica Giardino | Nurse Practitioner | 48 Payson Rd, Pequannock, NJ 07440-1129 | 2006-04-05 |
| 1992777429 | Lydia Mittermaier | Nurse Practitioner | 1 Wescott Dr, Suite 102, Flemington, NJ 08822-4655 | 2006-02-07 |
| 1285620047 | Velina Alicia Andrewski | Nurse Practitioner | 129 Rte 37 W, Toms River, NJ 08755-6435 | 2005-09-26 |
| 1285274308 | Francine Marie Sanchez | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-01-07 |
| 1851930267 | Ngocmy Thi Nguyen | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-01-02 |
| 1841848488 | Alysa Lynn Ramalho | Nurse Practitioner | 210 Lyons Ave, Newark, NJ 07112-1720 | 2019-08-27 |
| 1881194140 | Michelle Glowinski | Nurse Practitioner | 8 Saddle Rd, Cedar Knolls, NJ 07927-1902 | 2018-02-13 |
| 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.