Active NPI
Steven Bocchese
- Acute Care Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1467836882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00618600
- Practice address
- 111 S 11TH St Ste 6270
Philadelphia, PA 19107-4824 - Phone
- (159) 556-5402
- Fax
- (856) 596-0837
- NPI assigned
- Jul 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00618600 | NJ | Primary |
| Registered Nurse | 163W00000X | 26NR14518600 | NJ | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | SP020493 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP020493 | PA |
Addresses
Primary practice location
111 S 11TH St Ste 6270
Philadelphia, PA 19107-4824
Mailing address
111 S 11TH St Ste 6210
Philadelphia, PA 19107-4824
Other practice location 1
141 Route 70 E Ste B
Marlton, NJ 08053-1855
Phone (856) 596-9057
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbocchese17978@directvirtua.org | ||
| Direct Messaging Address | sbocchese17978@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR14518600 | NJ | MD | Registered Nurse |
Interoperability endpoints
- sbocchese17978@directvirtua.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1467836882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 6210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 6270",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "159-556-5402",
"fax_number": "856-596-0837"
}
],
"practiceLocations": [
{
"address_1": "141 Route 70 E Ste B",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080531855",
"country_code": "US",
"telephone_number": "856-596-9057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOCCHESE",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-15",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00618600",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR14518600",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "PA",
"license": "SP020493",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP020493",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbocchese17978@directvirtua.org",
"affiliation": "N",
"address_1": "141 Route 70 E Ste B",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080531855",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbocchese17978@directvirtua.org",
"affiliation": "N",
"address_1": "111 S 11th St Ste 6270",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191074824",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.