Individual provider Active NPI

Stephen Erik Adolfsen, MD

  • Pediatric Orthopaedic Surgery Physician
  • East Brunswick, NJ
National Provider Identifier
1790993228
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
25MA08572300 Issued in NJ
Practice address
585 Cranbury Rd
East Brunswick, NJ 08816-4092
Phone
(732) 390-1160
Fax
(732) 390-8449
NPI assigned
May 18, 2007
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA08572300 NJ
Pediatric Orthopaedic Surgery Physician 207XP3100X 25MA08572300 NJ Primary

Addresses

Primary practice location

585 Cranbury Rd
East Brunswick, NJ 08816-4092

Mailing address

585 Cranbury Rd
East Brunswick, NJ 08816-4092
Phone (732) 390-1160

Other identifiers 1

IdentifierTypeStateIssuer
0347388MedicaidNJ

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
I20130625000450 NJ Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 4284879545 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08572300NJMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Orthopaedic Surgery CurrentSince Apr 20, 2024 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jan 19, 2022 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 20, 2024 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Orthopaedic Surgery CurrentSince Jan 19, 2022 Accepting new patients

Locations

716 Broad St
Ste 2D
Clifton, NJ 07013
Phone (973) 435-6070

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

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

3700 State Route 33
Ste A
Neptune, NJ 07753
Phone (732) 204-8293

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: sadolfsen14955@epicdirect.rwjbh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1790993228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164092",
            "telephone_number": "732-390-1160",
            "fax_number": "732-390-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164092",
            "telephone_number": "732-390-1160",
            "fax_number": "732-390-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLFSEN",
        "first_name": "STEPHEN",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08572300",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08572300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347388",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.