Individual provider Active NPI

Syceria Tyesha-Michelle Stephens, APC-C

  • Primary Care Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1194181933
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00591100 Issued in NJ
Practice address
30 Shrewsbury PLZ
Shrewsbury, NJ 07702-4322
Phone
(732) 542-0002
Fax
(732) 542-2992
NPI assigned
Jan 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00591100 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00591100 NJ Primary

Addresses

Primary practice location

30 Shrewsbury PLZ
Shrewsbury, NJ 07702-4322

Mailing address

PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323000099 NJ Practitioner - Nurse Practitioner 9739486572 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

46 Newman Springs Rd E
Suite F
Red Bank, NJ 07701-1531
Phone (732) 933-4100

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Subacute Medical Associates CurrentSince Oct 8, 2023 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Jul 15, 2017 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Jul 15, 2017 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Jul 7, 2018 Accepting new patients
Infinite Medical PC CurrentSince Jun 14, 2023 Accepting new patients
Ima Urgent Care Past Accepting new patients

Locations

1040 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 291-0740

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

250 Skillman St
Ste 202
Brooklyn, NY 11205

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: syceria.stephens@ima.directbygreenway.com
  • Direct secure messaging: syceria.stephens@immcarenj.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 6

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": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1194181933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8519",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018519",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHREWSBURY PLZ",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024322",
            "telephone_number": "732-542-0002",
            "fax_number": "732-542-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SYCERIA",
        "middle_name": "TYESHA-MICHELLE",
        "credential": "APC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-09",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00591100",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00591100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.