Active NPI
Stephanie Anne Young, NP
- Family Nurse Practitioner
- Cherry Hill, NJ
National Provider Identifier
1588693899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJO08465300
- Practice address
- 800 Kings Hwy N
Suite 203
Cherry Hill, NJ 08034-1511 - Phone
- (856) 348-1143
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJO08465300 | NJ | Primary |
Addresses
Primary practice location
800 Kings Hwy N
Suite 203
Cherry Hill, NJ 08034-1511
Mailing address
20000 Horizon Way
Suite 150
Mount Laurel, NJ 08054-4303
Phone (602) 370-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544347 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJO08465300 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Emergency Physicians, PA | Past | Accepting new patients | |
| Emcare - PNX Emergency Physicians LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1023063880
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1902855992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1588693899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20000 HORIZON WAY",
"address_2": "SUITE 150",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080544303",
"telephone_number": "602-370-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 KINGS HWY N",
"address_2": "SUITE 203",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341511",
"telephone_number": "856-348-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJO08465300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "544347",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.