Individual provider Active NPI

Stacey Rene Zavala, MD

  • Gastroenterology Physician
  • Marlton, NJ
National Provider Identifier
1144433673
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA10777100 Issued in NJ
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

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090722000248 PA Practitioner - Gastroenterology 0244382281 Reassigns benefits to 1 organization
I20200414002658 NJ Practitioner - Gastroenterology 0244382281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

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 Hospital, Voorhees, NJ, CCN 310022
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10777100NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 14, 2020 Accepting new patients
Advocare, LLC CurrentSince Feb 1, 2024 Accepting new patients
South Jersey Gastroenterology, PA Gastroenterology Current Accepting new patients
DLP Conemaugh Physician Practices LLC Gastroenterology CurrentSince Aug 14, 2020 Accepting new patients
Advocare , LLC CurrentSince Feb 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.