Active NPI
Stacey Rene Zavala, MD
- Gastroenterology Physician
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA10777100
- Practice address
- 406 Lippincott Dr Ste E
Marlton, NJ 08053-4168 - Phone
- (856) 983-1900
- Fax
- (856) 983-5110
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA10777100 | NJ | Primary |
Addresses
Primary practice location
406 Lippincott Dr Ste E
Marlton, NJ 08053-4168
Mailing address
406 Lippincott Dr Ste E
Marlton, NJ 08053-4168
Phone (856) 983-1900
Other practice location 1
1529 Route 206 Ste L
Tabernacle, NJ 08088-8801
Phone (856) 983-1900
Other practice location 2
4790 Barkley Cir
Buidlng A
Fort Myers, FL 33907-7593
Phone (239) 275-8882
Other practice location 3
777 Route 70 E Ste G101
Marlton, NJ 08053-2548
Phone (856) 983-1900
Other practice location 4
524 Williamstown Rd Ste A
Sicklerville, NJ 08081-1800
Phone (856) 983-1900
Other practice location 5
111 Vine St
Hammonton, NJ 08037-1447
Phone (609) 561-3080
Other practice location 6
106 Creek Crossing Blvd
Hainesport, NJ 08036-2765
Phone (609) 265-9993
Other practice location 7
807 N Haddon Ave Ste 201
Haddonfield, NJ 08033-1749
Phone (856) 428-2112
Other practice location 8
501 5th St Ste C
Atco, NJ 08004-1861
Phone (856) 753-3006
Other practice location 9
175 Berlin Cross Keys Rd
Berlin, NJ 08009-9263
Phone (856) 983-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211
406 Lippincott Dr
Marlton, NJ 08053-4168
Hospital & facility affiliations
- West Jersey Hospital
- Cooper University Hospital
- Virtua Mount Holly Hospital
- Aspen Valley Hospital District
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 75 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10777100 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| South Jersey Gastroenterology, PA | Gastroenterology | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Gastroenterology | Current | Accepting new patients |
| Advocare , LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Virtua Medical Group, PA | Gastroenterology | Current | Accepting new patients |
| South Jersey Gastroenterology PA | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients |
Locations
501 5th St
Ste C
Atco, NJ 08004
Phone (856) 753-3006
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
807 N Haddon Ave
Ste 201
Haddonfield, NJ 08033
Phone (856) 428-2112
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
106 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 265-9993
111 Vine St
Hammonton, NJ 08037
Phone (609) 561-2518
406 Lippincott Dr
Ste E
Marlton, NJ 08053
Phone (856) 770-1920
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
524 Williamstown Rd
Ste A
Sicklerville, NJ 08081
Phone (856) 728-1181
1529 Route 206
Ste L
Tabernacle, NJ 08088
Phone (609) 268-0707
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270
Interoperability endpoints
- stacey.zavala@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 11
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Anesthesiology Physician
- Voorhees, NJ
- NPI 1356514335
-
- Gastroenterology Physician
- Marlton, NJ
- NPI 1871537225
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
Gastroenterology
-
- Family Medicine Physician
- Ebensburg, PA
- NPI 1982098927
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
-
- Infectious Disease Physician
- Philadelphia, PA
- NPI 1760449169
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- Critical Access Hospital
- Aspen, CO
- NPI 1518960814
-
- Durable Medical Equipment & Medical Supplies
- Aspen, CO
- NPI 1942357363
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1144433673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 LIPPINCOTT DR STE E",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534168",
"telephone_number": "856-983-1900",
"fax_number": "856-893-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 LIPPINCOTT DR STE E",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534168",
"telephone_number": "856-983-1900",
"fax_number": "856-983-5110"
}
],
"practiceLocations": [
{
"address_1": "1529 Route 206 Ste L",
"address_purpose": "LOCATION",
"city": "Tabernacle",
"state": "NJ",
"postal_code": "080888801",
"country_code": "US",
"telephone_number": "856-983-1900",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4790 Barkley Cir",
"address_2": "Buidlng A",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339077593",
"country_code": "US",
"telephone_number": "239-275-8882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Route 70 E Ste G101",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080532548",
"country_code": "US",
"telephone_number": "856-983-1900",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "524 Williamstown Rd Ste A",
"address_purpose": "LOCATION",
"city": "Sicklerville",
"state": "NJ",
"postal_code": "080811800",
"country_code": "US",
"telephone_number": "856-983-1900",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Vine St",
"address_purpose": "LOCATION",
"city": "Hammonton",
"state": "NJ",
"postal_code": "080371447",
"country_code": "US",
"telephone_number": "609-561-3080",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Creek Crossing Blvd",
"address_purpose": "LOCATION",
"city": "Hainesport",
"state": "NJ",
"postal_code": "080362765",
"country_code": "US",
"telephone_number": "609-265-9993",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "807 N Haddon Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Haddonfield",
"state": "NJ",
"postal_code": "080331749",
"country_code": "US",
"telephone_number": "856-428-2112",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 5th St Ste C",
"address_purpose": "LOCATION",
"city": "Atco",
"state": "NJ",
"postal_code": "080041861",
"country_code": "US",
"telephone_number": "856-753-3006",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Berlin Cross Keys Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "NJ",
"postal_code": "080099263",
"country_code": "US",
"telephone_number": "856-983-1900",
"fax_number": "856-983-5110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAVALA",
"first_name": "STACEY",
"middle_name": "RENE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA10777100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.