Individual provider Active NPI

Stephanie Jones, APN

  • Family Nurse Practitioner
  • Clark, NJ
National Provider Identifier
1053138883
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15149200 Issued in NJ
Practice address
241 Westfield Ave
Clark, NJ 07066-1547
Phone
(866) 389-2727
NPI assigned
Sep 23, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15149200 NJ Primary

Addresses

Primary practice location

241 Westfield Ave
Clark, NJ 07066-1547

Mailing address

241 Westfield Ave
Clark, NJ 07066-1547
Phone (866) 389-2727

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131001707 NJ Practitioner - Nurse Practitioner 9638608938 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Jan 10, 2025 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Oct 6, 2025 Accepting new patients
University Hospital CurrentSince Apr 17, 2025 Accepting new patients
University Hospital CurrentSince Apr 17, 2025 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Oct 6, 2025 Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

241 Westfield Ave
Clark, NJ 07066
Phone (732) 381-7100

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

140 Bergen St
#F1776
Newark, NJ 07103
Phone (973) 972-3282

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

205 S Orange Ave
Ste 1200
Newark, NJ 07103
Phone (973) 972-2151

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1053138883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661547",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661547",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15149200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.