Individual provider Active NPI

Stephanie Laverne Doyle, MD

  • Family Medicine Physician
  • Rio Grande, NJ
National Provider Identifier
1679747729
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA063016 Issued in NJ
Practice address
4011 Route 9 South
Suite 201
Rio Grande, NJ 08204
Phone
(609) 770-7788
Fax
(609) 770-7774
NPI assigned
Apr 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA063016 NJ Primary

Addresses

Primary practice location

4011 Route 9 South
Suite 201
Rio Grande, NJ 08204

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other identifiers 1

IdentifierTypeStateIssuer
7318707MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000027 NJ Practitioner - Family Practice 3779671086 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians
Inspira SJ Urgent Care PCGroup PAC ID 0749566958, 29 clinicians

Practice addresses (Care Compare)

100 Kings Way E
Suite B1
Sewell, NJ 08080-2237
Phone (856) 536-1515

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

3722 E Landis Ave
Suite Iandj
Vineland, NJ 08361-7926
Phone (856) 213-5900

Hospital & facility affiliations

  • Cape Regional Home Health Care, LLC Home health agency, Cape May Court House, NJ, CCN 317012
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA063016NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GT Urgent Care PC CurrentSince Jul 25, 2015 Accepting new patients
Cooper Care Alliance, PC CurrentSince Mar 11, 2025 Accepting new patients
Cape Physicians Associates PA Family Medicine CurrentSince Mar 18, 2013 Accepting new patients
Inspira Health Network Medical Group, P.C. PastSince Jan 25, 2012 Accepting new patients
Emergency Care Services of New Jersey, PA Past Accepting new patients
Family Physicians at Burlington Family Medicine Past Accepting new patients
Salem Medical Professionals PC Family Medicine Past Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients

Locations

1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

4011 Route 9 S
Ste 201
Rio Grande, NJ 08242
Phone (609) 463-2273

100 Kings Way E
Ste B1
Sewell, NJ 08080
Phone (856) 228-9142

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

Interoperability endpoints

  • Direct secure messaging: stephaniedoyle@crhs.allscriptsdirect.net
  • Direct secure messaging: sdoyle188449@direct.cooperhealth.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1679747729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ROUTE 9 SOUTH",
            "address_2": "SUITE 201",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "08204",
            "telephone_number": "609-770-7788",
            "fax_number": "609-770-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "STEPHANIE",
        "middle_name": "LAVERNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA063016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7318707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

Verify at the official NPI Registry.