Organization Active NPI

Stationmd Professional Corporation

  • Specialist
  • Maplewood, NJ
National Provider Identifier
1821837337
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Sep 22, 2025

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.