Individual provider Active NPI

Stephanie Zdanowski, APN

  • Acute Care Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1619258217
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00067100 Issued in NJ
Practice address
817 Federal St Ste 300
Camden, NJ 08103-1539
Phone
(856) 541-5933
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00067100 NJ Primary

Addresses

Primary practice location

817 Federal St Ste 300
Camden, NJ 08103-1539

Mailing address

817 Federal St Ste 300
Camden, NJ 08103-1539
Phone (856) 541-5933

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121112000242 NJ Practitioner - Nurse Practitioner 3971754334 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Maro MD PA CurrentSince Jul 1, 2019 Accepting new patients
Camcare Health Corporation Current Accepting new patients
Camcare Health Corporation CurrentSince Apr 9, 2019 Accepting new patients

Locations

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Ste 300
Camden, NJ 08103
Phone (856) 541-5933

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

27 Covered Bridge Rd
Cherry Hill, NJ 08034
Phone (856) 428-6768

701 Cooper Rd
Ste 16
Voorhees, NJ 08043
Phone (856) 429-2224

Organizations & group practices 3

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1619258217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST STE 300",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-541-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST STE 300",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-541-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDANOWSKI",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00067100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.