DR. STACY A SMITH-ELFANT (NPI# 1164470787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164470787 |
| Entity Type | Individual |
| Full Name | DR. STACY A SMITH-ELFANT |
| Credential | MD |
| Practice Address |
175 Cross Keys Rd Ste 300a Berlin NJ 08009-9263 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 8567670077 |
| Practice Fax Number | 8567676102 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA05781100 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 Old Marlton Pike W, Suite 1, Marlton, NJ 080532076 | 8569889101 | 8569887712 |
| 269 Fish Pond Rd, Sewell, NJ 080803047 | 8568639999 | 8568639666 |
| Street Address |
175 CROSS KEYS RD STE 300A |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-9263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244491 | Isabelle Catherine Clauss | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2020-08-03 |
| 1710455605 | Heather Stang | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2018-11-08 |
| 1336638287 | Meredith Ann Mcnelis | Physician Assistant | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009 | 2018-05-07 |
| 1639407414 | Michael Robert Reutter | Family Medicine | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2009-12-07 |
| 1811078488 | David A Wright Jr. | Physical Therapist | 175 Cross Keys Rd Ste 300a, Berlin, NJ 08009-9263 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073604278 | Freyda Neyman | Pediatrics | Cvmc Pediatrics Primary Care- Berlin, 246 Granger Road, Suite 1, Berlin, VT 05641 | 2006-09-27 |
| 1982702650 | Beth Ann Maier | Pediatrics | 266 Fisher Rd, Ste 1, Berlin, VT 05602-9179 | 2006-09-20 |
| 1265453906 | James R Milne | Pediatrics | 266 Fisher Rd Ste 1, Associates In Pediatrics, Berlin, VT 05602-9179 | 2006-07-21 |
| 1861413403 | Harriott Meyer Shea | Pediatrics | 246 Granger Rd Ste 1, Associates In Pediatrics - Berlin, Berlin, VT 05602-0000 | 2006-07-21 |
| 1811994007 | Matteo Joseph Lopreiato | Pediatrics | 742 Worthington Rdg, Suite A, Berlin, CT 06037-3233 | 2005-07-01 |
| 1598903999 | Anita Pascucci | Pediatrics | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2009-01-23 |
| 1245407352 | Berlin Pediatric Associates, LLC | Pediatrics | 742 Worthington Rdg, Suite A, Berlin, CT 06037-3233 | 2008-05-08 |
| 1770704744 | Carolyn Sarah Lorenz-greenberg | Pediatrics | 246 Granger Rd, Suite 1, Berlin, VT 05602-0000 | 2007-05-01 |
| 1437261161 | Shiann J Wu | Pediatrics | 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009-9263 | 2006-08-31 |
| 1285649749 | Gwendolyn Shelton | Pediatrics | 246 Granger Rd, Suite 1, Berlin, VT 05602-0000 | 2006-07-30 |
| Find all providers in BERLIN | ||||
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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.