Active NPI
Stephanie Simonetti, APN
- Nurse Practitioner
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01237000
- Practice address
- 1210 Brace Rd Ste 103
Cherry Hill, NJ 08034-3213 - Phone
- (856) 536-1515
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 26NJ01237000 | NJ | |
| Nurse Practitioner | 363L00000X | 26NJ01237000 | NJ | Primary |
Addresses
Primary practice location
1210 Brace Rd Ste 103
Cherry Hill, NJ 08034-3213
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
457 Haddonfield Rd Ste 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1210 Brace Rd
Suite 103
Cherry Hill, NJ 08034-3213
Phone (856) 536-1515
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01237000 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Care Alliance, PC | Current | Accepting new patients | |
| Family Physicians at Burlington | Adult Medicine | Past | Accepting new patients |
Locations
1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870
2339 Route 70 W
Fl 4
Cherry Hill, NJ 08002
Phone (856) 414-6110
1210 Brace Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 342-2034
901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221
Interoperability endpoints
- ssimonetti191176@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Specialist
- Camden, NJ
- NPI 1215551437
-
- Family Medicine Physician
- Burlington, NJ
- NPI 1356484687
Adult Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1104586031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935",
"fax_number": "732-790-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 BRACE RD STE 103",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343213",
"telephone_number": "856-536-1515"
}
],
"practiceLocations": [
{
"address_1": "457 Haddonfield Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080022223",
"country_code": "US",
"telephone_number": "844-542-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMONETTI",
"first_name": "STEPHANIE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NJ",
"license": "26NJ01237000",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01237000",
"primary": true
}
],
"identifiers": [],
"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 Oct 1, 2024; 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.