Individual provider Active NPI

Stephen A Nurkiewicz, MD

  • Family Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1093773350
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05289300 Issued in NJ
Practice address
858 S White Horse Pike Ste B2
Hammonton, NJ 08037-2031
Phone
(609) 561-2345
Fax
(609) 318-7570
NPI assigned
May 3, 2006
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA05289300 NJ Primary

Addresses

Primary practice location

858 S White Horse Pike Ste B2
Hammonton, NJ 08037-2031

Mailing address

858 S White Horse Pike # B2
Hammonton, NJ 08037-2031
Phone (609) 561-2345

Other identifiers 5

IdentifierTypeStateIssuer
J5463OtherNJHORIZON
4564737OtherNJAETNA
0360950001OtherNJAMERIHEALTH
110029199OtherNJRAILROAD
P377258OtherNJOXFORD

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
I20051121000116 NJ Practitioner - Family PracticePractitioner - Internal Medicine 7618994930 Practice locations: Hammonton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

858 S White Horse Pike
Hammonton, NJ 08037-2031
Phone (609) 561-2345

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a. Nurkiewicz, MD Family Medicine CurrentSince Jan 1, 1990 Accepting new patients
Reliance Medical Group, LLC Family Medicine Past Accepting new patients
Atlanticare Health Services, Inc. Past Accepting new patients

Locations

858 S White Horse Pike
#B2
Hammonton, NJ 08037

858 S White Horse Pike
Ste B2
Hammonton, NJ 08037
Phone (609) 561-2345

Interoperability endpoints

  • Direct secure messaging: stephen.nurkiewicz@stephenanurkiewicz.chartmakerdirect.com

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.

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1093773350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 S WHITE HORSE PIKE # B2",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372031",
            "telephone_number": "609-561-2345",
            "fax_number": "609-318-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 S WHITE HORSE PIKE STE B2",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372031",
            "telephone_number": "609-561-2345",
            "fax_number": "609-318-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURKIEWICZ",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05289300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "J5463",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4564737",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0360950001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110029199",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P377258",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.