Stephanie Lynn Wagner, RN

Primary specialty

Plastic Surgery Registered NurseTaxonomy code 163WS0121X

License

26NR10508500 Issued in NJ

Practice address

733 N Beers St
Holmdel, NJ 07733-1528

Phone

(732) 739-2100

NPI assigned

May 2, 2021

Last updated

May 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1144803792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MAGNOLIA LN",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481859",
            "telephone_number": "732-433-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331528",
            "telephone_number": "732-739-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "NJ",
            "license": "26NR10508500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Association of Central Jersey, Inc.
• Visiting Nurse Association of Central Jersey, Inc.
• Olga Vitiv
• Vna Health Group of New Jersey, LLC
• Michael Volodarskiy
• Heather Walls, SLP
• Hongling Wang, MD
• Jijo Wang, MD
• Liping Wang, M.S., C.A.
• Michael Brandon Warren, DPM

• Registered Nurse in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.