Individual provider Active NPI

Stephen D Ford, MD

  • Internal Medicine Physician
  • Colonia, NJ
National Provider Identifier
1447290408
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA04794600 Issued in NJ
Practice address
1503 St Georges Ave
Suite 201
Colonia, NJ 07067-3427
Phone
(732) 382-5200
Fax
(732) 382-5201
NPI assigned
Jun 7, 2006
Last updated
Jan 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA04794600 NJ Primary

Addresses

Primary practice location

1503 St Georges Ave
Suite 201
Colonia, NJ 07067-3427

Mailing address

1503 St Georges Ave
Suite 201
Colonia, NJ 07067-3427
Phone (732) 382-5200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309001062 NJ Practitioner - Internal Medicine 6709774847 Reassigns benefits to 1 organization
Practice locations: Clark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Health Care Associates LLCGroup PAC ID 2163450958, 19 clinicians

Practice addresses (Care Compare)

300 S Ave
Garwood, NJ 07027-1312

33 Overlook Rd
Suite 304
Summit, NJ 07901-3563
Phone (732) 381-3740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA04794600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Health Care Associates LLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Juan C. Baez MD LLC Past Accepting new patients
Labyrinth Psychiatry Group LLC PastSince Nov 15, 2020 Accepting new patients

Locations

1139 Raritan Rd
Ste 104
Clark, NJ 07066
Phone (732) 382-5200

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1447290408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 ST GEORGES AVE",
            "address_2": "SUITE 201",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "732-382-5200",
            "fax_number": "732-382-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 ST GEORGES AVE",
            "address_2": "SUITE 201",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "732-382-5200",
            "fax_number": "732-382-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA04794600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

Verify at the official NPI Registry.