Individual provider Active NPI

Stephanie Jean, MD

  • Gynecologic Oncology Physician
  • Newark, DE
National Provider Identifier
1548468259
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
C1-0011425 Issued in DE
Practice address
4701 Ogletown Stanton Rd
Helen F. Graham Cancer Center West, S-2335
Newark, DE 19713-2055
Phone
(302) 623-4285
Fax
(302) 623-4285
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD448383 PA
Gynecologic Oncology Physician 207VX0201X C1-0011425 DE Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Helen F. Graham Cancer Center West, S-2335
Newark, DE 19713-2055

Mailing address

200 Hygeia Dr
Suite 2300 - Physician Contracting
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140826000705 PA Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 9638397169 Reassigns benefits to 1 organization
I20150819008451 DE Practitioner - Gynecological Oncology 9638397169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3318

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Removal of the uterus36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Gynecologic Oncology CurrentSince Aug 31, 2015 Accepting new patients
University of Penn-Medical Group Gynecologic Oncology Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 31, 2015 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4701 Ogletown Stanton Rd
Ste 2335
Newark, DE 19713
Phone (302) 623-4285

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1001 Chesterbrook Blvd
Ste 300
Berwyn, PA 19312
Phone (610) 576-7700

3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

3701 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-6035

440 E Marshall St
Ste 101
West Chester, PA 19380
Phone (610) 738-2500

Organizations & group practices 5

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 4

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1548468259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2300 - PHYSICIAN CONTRACTING",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "HELEN F. GRAHAM CANCER CENTER WEST, S-2335",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-623-4285",
            "fax_number": "302-623-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD448383",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "DE",
            "license": "C1-0011425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.