Individual provider Active NPI

Allison G. Stevens, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1265986319
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ14842200 Issued in NJ
Practice address
1255 Route 70 Ste C
Lakewood, NJ 08701-6036
Phone
(732) 930-2721
NPI assigned
Aug 6, 2016
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 25940 SC
Gerontology Nurse Practitioner 363LG0600X 26NJ14842200 NJ Primary

Addresses

Primary practice location

1255 Route 70 Ste C
Lakewood, NJ 08701-6036

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161

Other practice location 1

180 Wingo Way Ste 306
Mount Pleasant, SC 29464-1812
Phone (843) 884-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190508001694 NY Practitioner - Nurse Practitioner 6709128937 Reassigns benefits to 1 organization
I20221019000129 SC Practitioner - Nurse Practitioner 6709128937 Reassigns benefits to 1 organization
I20231129003311 NJ Practitioner - Nurse Practitioner 6709128937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

1255 Route 70
Suite C
Lakewood, NJ 08701-6036
Phone (732) 930-2721

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Sep 26, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 23, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 19, 2019 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 19, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Sep 26, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 23, 2023 Accepting new patients

Locations

731 Lacey Rd
Ste 5
Forked River, NJ 08731
Phone (609) 242-0040

1255 Route 70
Ste C
Lakewood, NJ 08701
Phone (732) 719-8149

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

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

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

180 Wingo Way
Ste 306
Mt Pleasant, SC 29464
Phone (843) 884-1777

3510 N Highway 17
Ste 315
Mt Pleasant, SC 29466
Phone (843) 606-8960

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1265986319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE C",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016036",
            "telephone_number": "732-930-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Wingo Way Ste 306",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294641812",
            "country_code": "US",
            "telephone_number": "843-884-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ALLISON",
        "middle_name": "G.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "25940",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14842200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.