Individual provider Active NPI

Stephanie Anne Young, NP

  • Family Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1588693899
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJO08465300 Issued in NJ
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

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
544347MedicaidAZ

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

LicenseStateTypeSpecialty
26NJO08465300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Emergency Physicians, PA Past Accepting new patients
Emcare - PNX Emergency Physicians LLC PastSince Sep 24, 2023 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.

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.

Verify at the official NPI Registry.