Active NPI
Stationmd Professional Corporation
- Specialist
- Maplewood, NJ
National Provider Identifier
1821837337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- STATIONMD PROFESSIONAL CORPORATION
- Practice address
- 515 Valley St Ste 203
Maplewood, NJ 07040-4300 - Phone
- (908) 663-2929
- NPI assigned
- May 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Turner
- Title
- Revenue Cycle Manager
- Phone
- (908) 663-2929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
515 Valley St Ste 203
Maplewood, NJ 07040-4300
Mailing address
515 Valley St Ste 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
National Provider Directory
National Provider DirectoryLocations
515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Staten Island, NY
- NPI 1306367263
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1023108941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1821837337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 VALLEY ST STE 203",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070404300",
"telephone_number": "908-663-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 VALLEY ST STE 203",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070404300",
"telephone_number": "908-663-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATIONMD PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-23",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "908-663-2929"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.