Stephanie Exley, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00260500 Issued in NJ

Practice address

649 N Broad St
Woodbury, NJ 08096-1621

Phone

(856) 845-3668

NPI assigned

Jun 23, 2006

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premier Foot and Ankle, Inc.

  • Podiatrist
  • Woodbury, NJ
  • NPI 1376740902
  NPD
• David & Gilbert D P M P a

  • Podiatrist
  • West Deptford, NJ
  • NPI 1760545644

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1730115833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 WILLOW GROVE RD",
            "city": "MONROEVILLE",
            "state": "NJ",
            "postal_code": "083434534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961621",
            "telephone_number": "856-845-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXLEY",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00260500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8489106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Encouraging Kids Family Resource Center
• Eps Billing, LLC
• Andrea Estafanous
• Evergreen Dental PA
• Evergreen Pharmacy
• Family Care Connections, LLC
• Family Care Connections, LLC
• Family Care Connections, LLC
• Family Health Center
• Family Therapy and Consultation Services

• Primary Podiatric Medicine Podiatrist in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.