Active NPI
Kyle Marie Stiffler, MD
- Psychiatry Physician
- Bridgeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA06624000
- Practice address
- 14 West Ave S
Bridgeton, NJ 08302 - Phone
- (856) 455-9911
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA06624000 | NJ | Primary |
Addresses
Primary practice location
14 West Ave S
Bridgeton, NJ 08302
Mailing address
14 West Ave S
Bridgeton, NJ 08302
Phone (856) 455-9911
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2936
Phone 8562993200418
Hospital & facility affiliations
- Riddle Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Commons, Inc. | Current | Accepting new patients | |
| Acenda, Inc. | Current | Accepting new patients | |
| Healthcare Commons, Inc. | Current | Accepting new patients |
Locations
42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006
500 S Pennsville Auburn Rd
Penns Grove, NJ 08069
Phone (856) 299-3200
404 Tatum St
Woodbury, NJ 08096
Phone (856) 845-8050
Interoperability endpoints
- healthcarecommons.kylestiffler@127476.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Carneys Point, NJ
- NPI 1831264019
-
- Mental Health Counselor
- Glassboro, NJ
- NPI 1982752333
-
- Community/Behavioral Health Agency
- Carneys Point, NJ
- NPI 1942729637
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1164577227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WEST AVE S",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "08302",
"telephone_number": "856-455-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WEST AVE S",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "08302",
"telephone_number": "856-455-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIFFLER",
"first_name": "KYLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA06624000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.