Organization Active NPI

Stabile Medical Associates LLC

  • Primary Care Clinic/Center
  • Hamilton, NJ
National Provider Identifier
1730214941
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MA36301 Issued in NJ
Legal business name
STABILE MEDICAL ASSOCIATES LLC
Practice address
1755 Klockner Rd
Hamilton, NJ 08619
Phone
(609) 587-0083
Fax
(609) 587-0211
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Dr. John R Stabile, M.D.
Title
Physician
Phone
(609) 587-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MA36301 NJ Primary

Addresses

Primary practice location

1755 Klockner Rd
Hamilton, NJ 08619

Mailing address

1755 Klockner Rd
Hamilton, NJ 08619
Phone (609) 587-0083

Other identifiers 2

IdentifierTypeStateIssuer
4664446OtherCIGNA
1517007MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1730214941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-587-0083",
            "fax_number": "609-587-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-587-0083",
            "fax_number": "609-587-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABILE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "STABILE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-587-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA36301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4664446",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.