Organization Active NPI

Stephanie Becker, Anp-C LLC

  • Adult Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1578844635
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
25NJ00311200 Issued in NJ
Legal business name
STEPHANIE BECKER, ANP-C LLC
Practice address
23 Branford Place
Newark, NJ 07102-2711
Phone
(973) 424-0080
Fax
(973) 424-0088
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Ms. Stephanie R Becker, ANP-C
Title
Adult Nurse Practitioner
Phone
(973) 424-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 25NJ00311200 NJ Primary

Addresses

Primary practice location

23 Branford Place
Newark, NJ 07102-2711

Mailing address

23 Branford Place
Newark, NJ 07102-2711
Phone (973) 424-0080

Other identifiers 1

IdentifierTypeStateIssuer
0274445MedicaidNJ

Other names 1

  • BRANFORD MEDICAL CENTER Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1578844635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRANFORD PLACE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022711",
            "telephone_number": "973-424-0080",
            "fax_number": "973-424-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRANFORD PLACE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022711",
            "telephone_number": "973-424-0080",
            "fax_number": "973-424-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE BECKER, ANP-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "973-424-0080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "25NJ00311200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274445",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRANFORD MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.