Individual provider Active NPI

Stephanie Corpron, APN

  • Primary Care Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1083015762
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00521200 Issued in NJ
Practice address
46 Essex St
Jersey City, NJ 07302-4508
Phone
(201) 360-2228
NPI assigned
Sep 12, 2014
Last updated
Aug 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00521200 NJ Primary

Addresses

Primary practice location

46 Essex St
Jersey City, NJ 07302-4508

Mailing address

1515 91St St
North Bergen, NJ 07047-4424

Other names 1

  • Stephanie Arteta Former name

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
I20150105000160 NJ Practitioner - Nurse Practitioner 1355664004 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Njcri Physicians Group PC CurrentSince Aug 1, 2023 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

46 Essex St
Jersey City, NJ 07302
Phone (201) 268-5485

393 Central Ave
Newark, NJ 07103
Phone (973) 483-3444

228 Franklin Ave
Nutley, NJ 07110
Phone (973) 542-2447

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19575/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1083015762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 91ST ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ESSEX ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024508",
            "telephone_number": "201-360-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPRON",
        "first_name": "STEPHANIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00521200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ARTETA",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.