Individual provider Active NPI

Alan Michael Stephens, D.O.

  • Surgery Physician
  • North Bergen, NJ
National Provider Identifier
1144602665
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3539 Issued in WV
Practice address
7600 River Rd
North Bergen, NJ 07047-6217
Phone
(201) 710-2753
Fax
(201) 758-2470
NPI assigned
Jun 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3539 WV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7600 River Rd
North Bergen, NJ 07047-6217

Mailing address

350 Shaler Blvd FL 2
Ridgefield, NJ 07657-2500
Phone (702) 839-8786

Other practice location 1

100 Pin Oak Ln Ste 3
Keyser, WV 26726-5908
Phone (304) 597-3790

Other practice location 2

100 Pin Oak Ln
Keyser, WV 26726-5908
Phone (304) 597-3500

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address astephens157097@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address astephens157097@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address astephens157097@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20200804002827 WV Practitioner - General Surgery 4284059528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Practice addresses (Care Compare)

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3539WVMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of W VA , Inc CurrentSince Oct 23, 2025 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince May 30, 2020 Accepting new patients
Potomac Valley Hospital of W VA , Inc Surgery CurrentSince May 30, 2020 Accepting new patients
Potomac Valley Hospital of W VA, Inc Past Accepting new patients

Locations

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

Interoperability endpoints

  • Direct secure messaging: astephens157097@direct.wvuhsdirect.com

Organizations & group practices 4

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 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": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1144602665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SHALER BLVD FL 2",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572500",
            "telephone_number": "702-839-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "201-710-2753",
            "fax_number": "201-758-2470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pin Oak Ln Ste 3",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "267265908",
            "country_code": "US",
            "telephone_number": "304-597-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Pin Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "267265908",
            "country_code": "US",
            "telephone_number": "304-597-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-20",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "3539",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astephens157097@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Pin Oak Ln",
            "city": "Keyser",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267265908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astephens157097@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Pin Oak Ln",
            "city": "Keyser",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267265908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astephens157097@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Pin Oak Ln",
            "city": "Keyser",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267265908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.