Individual provider Active NPI

Stefanie Spadafino, PAC

  • Physician Assistant
  • Freehold, NJ
National Provider Identifier
1386797645
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
501 Ironbridge Rd
Su 10
Freehold, NJ 07728
Phone
(732) 431-2999
Fax
(732) 431-2993
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

501 Ironbridge Rd
Su 10
Freehold, NJ 07728

Mailing address

31 S Union Ave
Cranford, NJ 07016-2843
Phone (908) 272-8676

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
I20040712000056 NJ Practitioner - Physician Assistant 3577541044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

188 Fries Mill Rd
N1
Turnersville, NJ 08012-2055
Phone (856) 875-0505

31 S Union Ave
Kaye OBGYN
Cranford, NJ 07016-2843
Phone (908) 272-8676

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Aug 1, 2011 Accepting new patients
Montclair Breast Center PC PastSince Aug 1, 1993 Accepting new patients

Locations

31 S Union Ave
Cranford, NJ 07016
Phone (908) 272-8676

501 Iron Bridge Rd
Ste 10
Freehold, NJ 07728
Phone (732) 431-2999

245 Main St
Ste A
Matawan, NJ 07747
Phone (732) 566-9466

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

Interoperability endpoints

  • Direct secure messaging: stefanie.spadafino@axia.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1386797645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S UNION AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162843",
            "telephone_number": "908-272-8676",
            "fax_number": "908-272-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IRONBRIDGE RD",
            "address_2": "SU 10",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-431-2999",
            "fax_number": "732-431-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADAFINO",
        "first_name": "STEFANIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.