Individual provider Active NPI

Alyson McKay Stahler

  • Family Nurse Practitioner
  • West Deptford, NJ
National Provider Identifier
1124365333
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00595400 Issued in NJ
Practice address
196 Grove Ave Ste C
West Deptford, NJ 08086-2139
Phone
(856) 848-7577
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012645 PA
Family Nurse Practitioner 363LF0000X 26NJ00595400 NJ Primary

Addresses

Primary practice location

196 Grove Ave Ste C
West Deptford, NJ 08086-2139

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

1937 MacDade Blvd
Folsom, PA 19033-1214
Phone (215) 499-9523

Other identifiers 1

IdentifierTypeStateIssuer
1124365333MedicaidPA

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
I20160916002092 NJ Practitioner - Nurse Practitioner 7517111784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

196 Grove Ave
Suite C
West Deptford, NJ 08086-2139
Phone (856) 848-7577

504 White Horse Pike
Haddon Heights, NJ 08035-1709
Phone (856) 546-7990

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 19, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 19, 2016 Accepting new patients
Cooper Family Medicine PC CurrentSince Apr 1, 2021 Accepting new patients
Cooper Family Medicine, PC CurrentSince Apr 1, 2021 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1 Federal St
#200
Camden, NJ 08103

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

196 Grove Ave
Ste C
West Deptford, NJ 08086
Phone (856) 818-7577

Interoperability endpoints

  • Direct secure messaging: astahler103464@direct.cooperhealth.edu

Organizations & group practices 6

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.

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1124365333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 GROVE AVE STE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862139",
            "telephone_number": "856-848-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1937 MacDade Blvd",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "PA",
            "postal_code": "190331214",
            "country_code": "US",
            "telephone_number": "215-499-9523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHLER",
        "first_name": "ALYSON",
        "middle_name": "MCKAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012645",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00595400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124365333",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.