STEPHANIE LONGO (NPI# 1518080761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518080761 |
| Entity Type | Individual |
| Full Name | STEPHANIE LONGO |
| Credential | NP |
| Practice Address |
200 Bowman Dr Ste E110 Voorhees NJ 08043 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8562477260 |
| Practice Fax Number | 8562477261 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26N011126000 | NJ | Nursing Service Providers |
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
26NJ00069300 | NJ | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00069300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0099139 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Bowman Dr, Voorhees, NJ 080439612 | 8562477260 | 8562477261 |
| 100 Long A Coming Ln, Berlin, NJ 080091964 | 8562477260 | 8562477261 |
| 175 Madison Ave, Mount Holly, NJ 080602099 | 8562477260 | 5624772618 |
| 600 Clements Bridge Rd, Barrington, NJ 080071814 | 8565478000 | 8565478020 |
| 62 Richmond Ave, Lumberton, NJ 080481632 | 8562477260 | 8562477261 |
| 90 Brick Rd, Marlton, NJ 080532177 | 8562477260 | 8562477261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417101585 | Stephanie Marie Longo | Social Worker | 18567 Anchor Dr, Boca Raton, FL 33498-6301 | 2008-11-15 |
| Street Address |
200 BOWMAN DR STE E110 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306156294 | Kathleen Kenney Judge | Registered Nurse | 200 Bowman Dr Ste E110, Voorhees, NJ 08043 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669723698 | Elizabeth L. Enriquez | Registered Nurse | 24 Lindy Pl, Old Tappan, NJ 07675-6907 | 2012-10-01 |
| 1174833495 | Laverne Graves-washington | Registered Nurse | 268 North New Rd., Pleasantville, NJ 08232 | 2010-10-20 |
| 1710085121 | Raymond A Rivell Dpm Pa | Registered Nurse | 7 Glenwood Place, Pennsville, NJ 08070-0247 | 2006-09-20 |
| 1184274128 | Dana Castellucci | Registered Nurse | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-09-11 |
| 1427481811 | Wound Healing Solutions Texas LLC | Registered Nurse | 600 Clements Bridge Rd, Barrington, NJ 08007-1814 | 2013-08-20 |
| 1790026763 | Jane Nicole Johnson | Registered Nurse | 175 Madison Ave, Mount Holly, NJ 08060 | 2013-03-15 |
| 1669718276 | Janet L Mantel | Registered Nurse | 350 Engle St, Englewood, NJ 07631-1808 | 2012-12-31 |
| 1487901161 | Patricia Ann Smith | Registered Nurse | 2475 Mcclellan Ave, Pennsauken, NJ 08109-4683 | 2012-08-13 |
| 1578794517 | Theresa Grace | Registered Nurse | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2009-08-06 |
| 1740462852 | Hien Nguyen | Registered Nurse | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2007-11-30 |
| 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.