Individual provider Active NPI

Stephanie Rai, APN

  • Nurse Practitioner
  • Haddon Heights, NJ
National Provider Identifier
1639975832
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15405900 Issued in NJ
Practice address
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone
(856) 546-3003
NPI assigned
Feb 20, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15405900 NJ Primary

Addresses

Primary practice location

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715

Mailing address

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 547-0539

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
I20251126003999 NJ Practitioner - Nurse Practitioner 3577055441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians

Practice addresses (Care Compare)

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15405900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of the Delaware Valley,P a CurrentSince Dec 17, 2025 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215

210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003

999 Route 73 N
Ste 205
Marlton, NJ 08053
Phone (856) 795-2227

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1639975832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W ATLANTIC AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351715",
            "telephone_number": "856-547-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W ATLANTIC AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351715",
            "telephone_number": "856-546-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAI",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15405900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.