Individual provider Active NPI

Stephanie R Neville, NP

  • Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1245045590
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15047500 Issued in NJ
Practice address
1600 Haddon Avenue, 6TH Floor Main
Camden, NJ 08103
Phone
(856) 247-2160
Fax
(856) 247-2165
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15047500 NJ Primary

Addresses

Primary practice location

1600 Haddon Avenue, 6TH Floor Main
Camden, NJ 08103

Mailing address

301 Lippincott Drive, Suite 410
Marlton, NJ 08053
Phone (856) 247-2160

Other practice location 1

90 Brick Road, Floor 3
Marlton, NJ 08053
Phone (856) 247-2160

Other practice location 2

175 Madison Avenue, 1st Floor
Mount Holly, NJ 08060
Phone (609) 914-6000

Other practice location 3

100 Bowman Drive, Lower Level 2
Voorhees, NJ 08043
Phone (856) 247-2160

Other practice location 4

218 Sunset Road, Floor 5
Willingboro, NJ 08046
Phone (856) 247-2160

Other practice location 5

510 Jackson Ave
Northfield, NJ 08225-1631
Phone (609) 383-0200

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address sneville325223@directvirtua.org
Direct Messaging Address sneville325223@directvirtua.org
Direct Messaging Address sneville325223@directvirtua.org
Direct Messaging Address sneville325223@directvirtua.org
Direct Messaging Address sneville325223@directvirtua.org

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
I20250324000353 NJ Practitioner - Nurse Practitioner 5890217590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, shared by 13 NPIs, 1,678 clinicians
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 757-3500

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 383-0200

Hospital & facility affiliations

  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kidney Care LLC CurrentSince Feb 19, 2025 Accepting new patients
Regional Nephrology Associates, P.a. PastSince Feb 19, 2025 Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200126

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: sneville73783@direct.acumenmd.com

Organizations & group practices 2

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 2

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": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245045590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DRIVE, SUITE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-247-2160",
            "fax_number": "856-247-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVENUE, 6TH FLOOR MAIN",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-247-2160",
            "fax_number": "856-247-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Brick Road, Floor 3",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-247-2160",
            "fax_number": "856-247-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Avenue, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "08060",
            "country_code": "US",
            "telephone_number": "609-914-6000",
            "fax_number": "609-914-6182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Drive, Lower Level 2",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-247-2160",
            "fax_number": "856-247-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Sunset Road, Floor 5",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "08046",
            "country_code": "US",
            "telephone_number": "856-247-2160",
            "fax_number": "856-247-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251631",
            "country_code": "US",
            "telephone_number": "609-383-0200",
            "fax_number": "609-383-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15047500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sneville325223@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Drive, Lower Level 2",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sneville325223@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Avenue, 1st Floor",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sneville325223@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Road, Floor 3",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sneville325223@directvirtua.org",
            "affiliation": "N",
            "address_1": "1600 Haddon Avenue, 6th Floor Main",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sneville325223@directvirtua.org",
            "affiliation": "N",
            "address_1": "218 Sunset Road, Floor 5",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.