Active NPI
Frank J. Stafford I, APN
- Psychiatric/Mental Health Nurse Practitioner
- Cherry Hill, NJ
National Provider Identifier
1073708236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00129900
- Practice address
- 2250 Chapel Ave W
Cherry Hill
Cherry Hill, NJ 08002-2051 - Phone
- (856) 482-9000
- Fax
- (856) 482-1159
- NPI assigned
- Sep 11, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00129900 | NJ | Primary |
Addresses
Primary practice location
2250 Chapel Ave W
Cherry Hill
Cherry Hill, NJ 08002-2051
Mailing address
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Phone (856) 482-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177555 | Medicaid | NJ | |
| P00755957 | Other | NJ | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2038 Carmel Rd
Millville, NJ 08332-9754
Phone (856) 825-6810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00129900 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Commons, Inc. | Current | Accepting new patients | |
| Healthcare Commons, Inc. | Current | Accepting new patients | |
| Healthcare Commons, Inc. | Current | Accepting new patients |
Locations
500 S Pennsville Auburn Rd
Penns Grove, NJ 08069
Phone (856) 299-3200
Interoperability endpoints
- fstafford252956@directvirtua.org
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Millville, NJ
- NPI 1447337134
-
- Community/Behavioral Health Agency
- Carneys Point, NJ
- NPI 1831264019
-
- Community/Behavioral Health Agency
- Carneys Point, NJ
- NPI 1790204584
-
- Community/Behavioral Health Agency
- Carneys Point, NJ
- NPI 1942729637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1073708236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "CHERRY HILL",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "FRANK",
"middle_name": "J.",
"name_suffix": "I",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00129900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0177555",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00755957",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.