Stephanie J Idiaquez Patel, DNP, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ01186600 Issued in NJ

Practice address

1 Cooper PLZ
Camden, NJ 08103-1461

Phone

(856) 342-2000

Fax

(856) 968-8573

NPI assigned

Nov 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sidiaquezpatel174438@direct.cooperhealth.edu

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.

• Pulse Vascular, LLC

  • Vascular & Interventional Radiology Physician
  • Vineland, NJ
  • NPI 1255899704
  Medicare reassignment Care Compare group NPD
• Cooper Family Medicine, PC

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1649217175
  Medicare reassignment NPD
• Daniel Korya MD LLC

  • Neurology Physician
  • Secaucus, NJ
  • NPI 1427512722
  Medicare reassignment NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• Cooper Family Medicine PC

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1093929895
  NPD
• Radius Telemed, LLC

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1821618968
  NPD

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1508522269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2000",
            "fax_number": "856-968-8573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Palisade Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073061121",
            "country_code": "US",
            "telephone_number": "201-795-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDIAQUEZ PATEL",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "DNP, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01186600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Breathe for You NJ Nonprofit Cooperation
• I Dare to Care Association
• Melissa Ann Iannacone, APN
• Monica R Ianosi-Irimie, M.D.
• Kelechi Ibeh
• Bolanle Idowu-Akangbe, APN
• Ruksana Iftekhar, MD
• Austin Manuel Iglesias, MD
• Sonia O Imaizumi, MD
• Ashli Nicole Indala

• Acute Care Nurse Practitioner in Camden, NJ
• Providers in Camden, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.