Active NPI
Stefanie Paola Sciortino
- Family Nurse Practitioner
- New Brunswick, NJ
National Provider Identifier
1144097650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ14951300
- Practice address
- 254 Easton Ave
New Brunswick, NJ 08901-1766 - Phone
- (732) 745-8600
- NPI assigned
- Dec 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ14951300 | NJ | Primary |
Addresses
Primary practice location
254 Easton Ave
New Brunswick, NJ 08901-1766
Mailing address
PO Box 6173
Bridgewater, NJ 08807-0173
Phone (908) 337-9960
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318002282 | NJ | Practitioner - Nurse Practitioner | 7113449281 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14951300 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Urgent Care LLC | Current | Accepting new patients |
Locations
363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616
300 Carnegie Ctr
Ste 150
Princeton, NJ 08540
Phone (609) 900-3310
149 Pierce St
Ste 1D
Somerset, NJ 08873
Phone (732) 838-4942
85 Old Stage Rd
Spotswood, NJ 08884
Phone (732) 838-4940
Interoperability endpoints
- stefanie.sciortino.1@23060.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1144097650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6173",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088070173",
"telephone_number": "908-337-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-745-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIORTINO",
"first_name": "STEFANIE",
"middle_name": "PAOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ14951300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.