Individual provider Active NPI

Stephanie Ann Badalamenti, MD, PHD

  • Dermatology Physician
  • West Orange, NJ
National Provider Identifier
1730273368
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07142900 Issued in NJ
Practice address
101 Old Short Hills Road
Suite 518
West Orange, NJ 07052
Phone
(973) 736-7546
NPI assigned
Oct 3, 2006
Last updated
Jan 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA07142900 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Road
Suite 518
West Orange, NJ 07052

Mailing address

101 Old Short Hills Road
Suite 518
West Orange, NJ 07052
Phone (973) 736-7546

Other identifiers 1

IdentifierTypeStateIssuer
203695284OtherNJTAX ID

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
I20060113000624 NJ Practitioner - Dermatology 0840213039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

1 Worlds Fair Dr
FL 1
Somerset, NJ 08873-1344
Phone (732) 235-7246

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5630

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions166
Skin biopsy137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07142900NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince May 17, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 7, 2025 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 7, 2025 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince May 17, 2025 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

94 Old Short Hills Rd
Fl 2
Livingston, NJ 07039
Phone (973) 322-2916

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

1 Worlds Fair Dr
Fl 1
Somerset, NJ 08873
Phone (732) 235-7894

30 Rehill Ave
Ste 2300
Somerville, NJ 08876
Phone (732) 235-7802

101 Old Short Hills Rd
Ste 518
West Orange, NJ 07052
Phone (973) 731-9067

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.

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1730273368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 518",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-736-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 518",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-736-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADALAMENTI",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07142900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203695284",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.