Individual provider Active NPI

Stephanie Pierre-Pierre, PA

  • Physician Assistant
  • Springfield, NJ
National Provider Identifier
1194287490
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00522300 Issued in NJ
Practice address
90 Route 22
Springfield, NJ 07081-3110
Phone
(973) 467-2273
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 25MP00522300 NJ Primary

Addresses

Primary practice location

90 Route 22
Springfield, NJ 07081-3110

Mailing address

49 Jordan Rd
Colonia, NJ 07067-1005
Phone (908) 512-7532

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
I20190724001702 NJ Practitioner - Physician Assistant 9335475615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Wood Johnson Medical Associates at Hamilton PAGroup PAC ID 6204805419, 45 clinicians
Browne Medical LLCGroup PAC ID 9032347281, 19 clinicians

Practice addresses (Care Compare)

328 W Saint Georges Ave
Linden, NJ 07036-5638

456 Prospect Ave
West Orange, NJ 07052-4112
Phone (973) 731-6767

464 Eagle Rock Ave
Suite C
West Orange, NJ 07052-3637
Phone (973) 669-5900

77 Central Ave
Suite 5
Clark, NJ 07066-1441
Phone (732) 301-5114

90 Route 22
Springfield, NJ 07081-3110
Phone (973) 467-2273

907 Oak Tree Ave
Suite H
South Plainfield, NJ 07080-5131
Phone (908) 222-3500

907 Oak Tree Ave H
South Plainfield, NJ 07080-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00522300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Oct 4, 2021 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

210 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 330-9090

90 US Highway 22 W
Springfield, NJ 07081
Phone (973) 467-0963

456 Prospect Ave
West Orange, NJ 07052
Phone (908) 925-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1194287490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JORDAN RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671005",
            "telephone_number": "908-512-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ROUTE 22",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813110",
            "telephone_number": "973-467-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-PIERRE",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00522300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.