Michael Stewart Stanley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00701300 Issued in NJ

Practice address

Cape May Uscg Clinic
1 Munro Ave
Cape May, NJ 08204

Phone

(609) 898-6436

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Kentucky Em-I Medical Services PSC

  • Emergency Medicine Physician
  • Ashland, KY
  • NPI 1356848121

  Physician Assistant

  Medicare reassignment NPD
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Physician Assistant

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment
• Kentucky Em-I Medical Services PSC

  • Emergency Medicine Physician
  • Murray, KY
  • NPI 1740512615

  Physician Assistant

  NPD
• T J Samson Community Hospital

  • Rural Health Clinic/Center
  • Cave City, KY
  • NPI 1629429360
  NPD
• T J Samson Community Hospital

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Glasgow, KY
  • NPI 1922343300
  NPD
• Elizabethtown Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Elizabethtown, KY
  • NPI 1528003316

  Physician Assistant

  NPD (past)
• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1215937354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N VILLAGE DR",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441221",
            "telephone_number": "270-404-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAPE MAY USCG CLINIC",
            "address_2": "1 MUNRO AVE",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "08204",
            "telephone_number": "609-898-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N L Rogers Wells Blvd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411300",
            "country_code": "US",
            "telephone_number": "270-659-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MICHAEL",
        "middle_name": "STEWART",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA581",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00701300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MANAGED MEDICAID",
            "identifier": "50073444",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500251500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra L Smith, RDH
• Susan R Smith, HS
• Masih M Soltani, DDS
• Lesley Jean Stanco, HS3
• James W. Standish, PT
• Courtney M Steward
• Torano L Stewart, HS
• Subhash Gopal Mehta,MD,PA
• Timothy Lee Sutherland Jr., HS
• Michael Joseph Tarhanich, HS

• Physician Assistant in Cape May, NJ
• Providers in Cape May, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.