Individual provider Active NPI

Stephen Evan Kabel, D. O.

  • Internal Medicine Physician
  • Delran, NJ
National Provider Identifier
1134129125
Registry record updated Jul 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB055637 Issued in NJ
Practice address
26 Haines Mill Rd
Delran, NJ 08075-1715
Phone
(856) 461-6200
Fax
(856) 461-4013
NPI assigned
Jul 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB053566 NJ
Family Medicine Physician 207Q00000X 0102049854 VA
Internal Medicine Physician 207R00000X 25MB055637 NJ Primary
Internal Medicine Physician 207R00000X 0102049854 VA

Addresses

Primary practice location

26 Haines Mill Rd
Delran, NJ 08075-1715

Mailing address

26 Haines Mill Rd
Delran, NJ 08075-1715
Phone (856) 461-6200

Other identifiers 12

IdentifierTypeStateIssuer
1834918OtherNJUNITED HEALTHCARE
1K7341OtherNJHEALTHNET
P2191369OtherNJOXFORD
24283OtherNJUNIVERSITY HEALTH PLAN
0812422001OtherNJAMERIHEALTH HMO
2255682OtherNJAETNA
4122929OtherNJCIGNA
110230350OtherNJRAIL ROAD MEDICARE NUMBER
1937276OtherNJFIRST HEALTH
9001905MedicaidNJ
2595958OtherNJGHI
908306OtherNJAMERIHEALTH PPO

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
I20100309000188 NJ Practitioner - Internal Medicine 6901941483 Practice locations: Delran, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Haines Mill Rd
Delran, NJ 08075-1715
Phone (856) 461-6200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB053566NJMDFamily Medicine Physician
0102049854VAMDFamily Medicine Physician
25MB055637NJMDInternal Medicine Physician

Hospital & facility affiliations 1

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": "1122681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1134129125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HAINES MILL RD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751715",
            "telephone_number": "856-461-6200",
            "fax_number": "856-461-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HAINES MILL RD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751715",
            "telephone_number": "856-461-6200",
            "fax_number": "856-461-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABEL",
        "first_name": "STEPHEN",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-30",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB053566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102049854",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB055637",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102049854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1834918",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K7341",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2191369",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "24283",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0812422001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2255682",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4122929",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE NUMBER",
            "identifier": "110230350",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1937276",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001905",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2595958",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "908306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.