Individual provider Active NPI

Meredith Sue Stein, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1174896989
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00075001 Issued in NJ
Practice address
3400 Spruce St
1 West Gates
Philadelphia, PA 19104-4238
Phone
(215) 662-2730
Fax
(215) 349-5224
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X MW010265 PA
Advanced Practice Midwife 367A00000X MW010265 PA
Advanced Practice Midwife 367A00000X 25ME00075001 NJ Primary

Addresses

Primary practice location

3400 Spruce St
1 West Gates
Philadelphia, PA 19104-4238

Mailing address

485 Hurffville Crosskeys Rd
Sewell, NJ 08080-9369
Phone (856) 557-7530

Other practice location 1

485 Hurffville Crosskeys Rd
Sewell, NJ 08080-9369
Phone (856) 557-7530

Other names 1

  • Meredith Sue Annon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120308000393 PA Practitioner - Certified Nurse Midwife (CNM) 6709045867 Reassigns benefits to 3 organizations
I20210616001829 NJ Practitioner - Certified Nurse Midwife (CNM) 6709045867 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00075001NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 5, 2016 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 1, 2024 Accepting new patients
Abington Memorial Hospital CurrentSince May 26, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 5, 2016 Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2012 Accepting new patients
Kennedy Medical Group P.C. CurrentSince Jun 15, 2021 Accepting new patients
University of Pittsburgh Physicians Advanced Practice Midwife CurrentSince Mar 1, 2012 Accepting new patients
Abington Memorial Hospital CurrentSince May 26, 2022 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jun 15, 2021 Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

475 County Road 520
Ste 101
Marlboro, NJ 07746
Phone (732) 946-2100

485 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 557-5555

445 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 332-3852

400 Laurel Oak Rd
Ste 105
Voorhees, NJ 08043
Phone (609) 304-0991

165 Princeton Ave
West Deptford, NJ 08096
Phone (856) 384-0210

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

3400 Spruce St
#2000
Philadelphia, PA 19104
Phone (215) 662-2982

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1174896989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809369",
            "telephone_number": "856-557-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 WEST GATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2730",
            "fax_number": "215-349-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Hurffville Crosskeys Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809369",
            "country_code": "US",
            "telephone_number": "856-557-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MEREDITH",
        "middle_name": "SUE",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "MW010265",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010265",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00075001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "ANNON",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.