Steve John Stavrellis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA02835000 Issued in NJ

Practice address

21 S Hope Chapel Rd Ste 131
Jackson, NJ 08527-5000

Phone

(732) 363-1424

Fax

(732) 370-0714

NPI assigned

Sep 26, 2006

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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.

• Hackensack Meridian Health Medical Group - Primary Care PC

  dba HMHMG Primary Care

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538

  Pediatrics

  Medicare reassignment NPD
• Lakewood Pediatric Associates

  • Pediatrics Physician
  • Lakewood, NJ
  • NPI 1528015153
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1669573861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S HOPE CHAPEL RD STE 131",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275000",
            "telephone_number": "732-363-1424",
            "fax_number": "732-370-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S HOPE CHAPEL RD STE 131",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275000",
            "telephone_number": "732-363-1424",
            "fax_number": "732-370-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVRELLIS",
        "first_name": "STEVE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA02835000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1299301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spring Forward ABA LLC
• Spwa Services, LLC
• Irina Stanilovskaya, RN
• Starkey Counseling by the Shore
• Julia Christene Staszak
• Ahuva H Steif, RD
• Natalie Stephens
• Maren Stockhoff, AU.D., CCC-A
• Canio J Stolfo
• Kerrin Strano

• Pediatrics Physician in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.