Individual provider Active NPI

Stephanie R Staskin-Ortiz, NBCHWC

  • Health & Wellness Coach
  • Woodbury, NJ
National Provider Identifier
1376486670
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A3516430 Issued in NJ
Practice address
35 N Broad St Unit 61
Woodbury, NJ 08096-8203
Phone
(856) 444-5152
NPI assigned
Apr 11, 2026
Last updated
Apr 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X A3516430 NJ Primary

Addresses

Primary practice location

35 N Broad St Unit 61
Woodbury, NJ 08096-8203

Mailing address

35 N Broad St Unit 61
Woodbury, NJ 08096-8203
Phone (856) 444-5152

Other names 1

  • Stephanie Ortiz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A3516430NJMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1775865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1376486670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N BROAD ST UNIT 61",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080968203",
            "telephone_number": "856-444-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N BROAD ST UNIT 61",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080968203",
            "telephone_number": "856-444-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASKIN-ORTIZ",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "NBCHWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-11",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NJ",
            "license": "A3516430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ORTIZ",
            "credential": "NBCHWC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.