Gregory Stakenburg

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

223 Gibbsboro Rd
Clementon, NJ 08021-4135

Phone

(609) 889-8100

NPI assigned

Sep 22, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1831001916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 GIBBSBORO RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214135",
            "telephone_number": "609-889-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 GIBBSBORO RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214135",
            "telephone_number": "609-889-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKENBURG",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Louise Smith, PA-C
• Seri Marcia Smith
• Kenneth A Soffer, DMD
• Natalie Solan, LCSW
• Sr Lab Services
• Ramie Marie Stiles, D.C.
• Naomi F Stuart, LSW
• Danielle Tanelli, MS, LPC, NCC
• Doreen Taylor
• Aimee L Thackeray, RPH

• Student in an Organized Health Care Education/Training Program in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.