Individual provider Active NPI

Stephanie Robin Dombrowski, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1649963653
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14841400 Issued in NJ
Practice address
2003 Lincoln Dr W Ste B
Marlton, NJ 08053-1529
Phone
(856) 886-8839
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14841400 NJ Primary

Addresses

Primary practice location

2003 Lincoln Dr W Ste B
Marlton, NJ 08053-1529

Mailing address

120 Plymouth PL
Merchantville, NJ 08109-2833
Phone (856) 952-7166

Other practice location 1

120 Plymouth Pl
Merchantville, NJ 08109-2833
Phone (856) 952-7166

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
I20230815001445 NJ Practitioner - Nurse Practitioner 4486016029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Positive BeginningsGroup PAC ID 3678837358, 14 clinicians

Practice addresses (Care Compare)

2003 Lincoln Dr W
Suite B
Marlton, NJ 08053-1529
Phone (856) 886-8839

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14841400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Beginnings CurrentSince Jul 1, 2023 Accepting new patients

Locations

2003 Lincoln Dr W
Ste B
Marlton, NJ 08053
Phone (856) 886-8839

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1649963653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PLYMOUTH PL",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092833",
            "telephone_number": "856-952-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN DR W STE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531529",
            "telephone_number": "856-886-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Plymouth Pl",
            "address_purpose": "LOCATION",
            "city": "Merchantville",
            "state": "NJ",
            "postal_code": "081092833",
            "country_code": "US",
            "telephone_number": "856-952-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "STEPHANIE",
        "middle_name": "ROBIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14841400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.