Individual provider Active NPI

Stephen Jay Harrison, DO

  • Emergency Medicine Physician
  • Princeton, NJ
National Provider Identifier
1043362080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB05260000 Issued in NJ
Practice address
253 Witherspoon St
Princeton, NJ 08540-3211
Phone
(609) 497-4431
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB05260000 NJ Primary

Addresses

Primary practice location

253 Witherspoon St
Princeton, NJ 08540-3211

Mailing address

503 Belle Glade CT
Branchburg, NJ 08853-4192
Phone (908) 369-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000467 NJ Practitioner - Emergency Medicine 4183751019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vcare Primary CareGroup PAC ID 0941677660, 2 clinicians
Vcare Urgent Care LLCGroup PAC ID 6406231216, 2 clinicians

Practice addresses (Care Compare)

485 Georges Rd
Suite 114
Dayton, NJ 08810-2439
Phone (888) 460-1151

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Merit-based Incentive Payment System (MIPS)

Final score
84.95 of 100Reported as individual
Quality
78.69
Improvement activities
40
Cost
74.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB05260000NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vcare Primary Care Emergency Medicine CurrentSince Jan 13, 2023 Accepting new patients
Vcare Urgent Care LLC Emergency Medicine CurrentSince Jun 3, 2022 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Tikvah Integrated Mental Health and Wellness LLC Past Accepting new patients

Locations

485 Georges Rd
Ste 114
Dayton, NJ 08810
Phone (856) 465-7728

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Plainsboro Rd
#C
Plainsboro, NJ 08536
Phone (866) 460-4776

Interoperability endpoints

  • Direct secure messaging: stephen.harrison.1@31873.direct.athenahealth.com
  • Direct secure messaging: stephen.harrison@3960.securemail.prognocis.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043362080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BELLE GLADE CT",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088534192",
            "telephone_number": "908-369-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WITHERSPOON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403211",
            "telephone_number": "609-497-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "STEPHEN",
        "middle_name": "JAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB05260000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.