Active NPI
Heather Stang, PA
- Physician Assistant
- Berlin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00499000
- Practice address
- 175 Cross Keys Rd Ste 300a
Berlin, NJ 08009-9263 - Phone
- (856) 767-0077
- Fax
- (856) 767-6102
- NPI assigned
- Nov 8, 2018
- Last updated
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA222088 | OR | |
| Physician Assistant | 363A00000X | 25MP00499000 | NJ | Primary |
Addresses
Primary practice location
175 Cross Keys Rd Ste 300a
Berlin, NJ 08009-9263
Mailing address
175 Cross Keys Rd Ste 300a
Berlin, NJ 08009-9263
Phone (856) 767-0077
Other practice location 1
1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone (503) 563-2742
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 Route 130 N
Cinnaminson, NJ 08077-3046
Phone (856) 829-0407
1410 Delsea Dr
FL 2
Deptford, NJ 08096-4101
Phone (856) 579-8897
2 S Black Horse Pike
Mount Ephraim, NJ 08059-1321
Phone (856) 931-3107
2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333
4318 Route 130
Willingboro, NJ 08046-1427
Phone (609) 871-2045
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652-3623
Phone (201) 262-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00499000 | NJ | MD | Physician Assistant |
| PA222088 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| Jersey Irish Medical | Past | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787
Interoperability endpoints
- heather.stang@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
dba Advocare Berlin Medical Associates (DME)
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
dba Advocare Merchantville Pediatrics
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1710455605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 CROSS KEYS RD STE 300A",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099263",
"telephone_number": "856-767-0077",
"fax_number": "856-767-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CROSS KEYS RD STE 300A",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099263",
"telephone_number": "856-767-0077",
"fax_number": "856-767-6102"
}
],
"practiceLocations": [
{
"address_1": "1110 SE Alder St Ste 301",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972142400",
"country_code": "US",
"telephone_number": "503-563-2742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANG",
"first_name": "HEATHER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA222088",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00499000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, NJ
- South Jersey Behavioral Health Resources, Inc.
- South Jersey Recovery Program
- Southjerseydentistry LLC
- Patricia A Spiegel, DC
- Spring Oak Assisted Living at Voorhees LLC (Spring Oak Assisted living of Berlin)
- Tanya Stankiewicz, NP
- Steininger Behavioral Care Services
- Steininger Behavioral Care Services
- Steininger Outpatient Services
- Mark Steitz Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.