Active NPI
Stephen Jay Harrison, DO
- Emergency Medicine Physician
- Princeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB05260000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.95 of 100
- Quality
- 78.69
- Improvement activities
- 40
- Cost
- 74.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB05260000 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vcare Primary Care | Emergency Medicine | Current | Accepting new patients |
| Vcare Urgent Care LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current | 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
- stephen.harrison.1@31873.direct.athenahealth.com
- 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.
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
Emergency Medicine, NJ
-
- Family Nurse Practitioner
- Marlton, NJ
- NPI 1881465128
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.