Stephanie Lynn Polperio, MSN, ACNPC-AG

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ01064200 Issued in NJ

Practice address

567 Fischer Blvd
Toms River, NJ 08753-6311

Phone

(732) 506-6868

NPI assigned

Oct 8, 2020

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Health LLCGroup PAC ID 7810482023, 4 clinicians

Karefirst New Jersey PCGroup PAC ID 5799262259, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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.

• Karefirst New Jersey PC

  • Nurse Practitioner
  • Shrewsbury, NJ
  • NPI 1912899311
  Medicare reassignment Care Compare group NPD
• Blue Health LLC

  • Clinic/Center
  • Springfield, NJ
  • NPI 1619847951
  Medicare reassignment Care Compare group
• Clare Medical of New Jersey LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Holly, NJ
  • NPI 1255718276

  Gerontology

  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Primary Care PC

  dba HMHMG Primary Care

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538
  Medicare reassignment NPD
• Ocean Family & Geriatric Associates LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1740321645
  Medicare reassignment NPD
• Universal Health Partners LLC

  • Primary Care Clinic/Center
  • Jackson, NJ
  • NPI 1952142127
  Medicare reassignment NPD
• Vitalpoint Healthpc

  • Internal Medicine Physician
  • Hammonton, NJ
  • NPI 1205719820
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NJ

  Medicare reassignment NPD
• Lakewood Urology Limited Liability Company

  dba University Urology Associates of New Jersey

  • Urology Physician
  • Hamilton, NJ
  • NPI 1356569388
  NPD
• Meridian Medical Group - Specialty Care, PC

  dba Hackensack Meridian Medical Group - One Medical PC

  • Family Medicine Physician
  • Edgewater, NJ
  • NPI 1275362105
  NPD (past)
• NJ Community Care Center

  • Medical Physician Assistant
  • Toms River, NJ
  • NPI 1770908642
  NPD (past)
• Vitality NP Group LLC

  • Nurse Practitioner
  • Horsham, PA
  • NPI 1003453051

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1831796119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 FISCHER BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536311",
            "telephone_number": "732-506-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 FISCHER BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536311",
            "telephone_number": "732-506-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLPERIO",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MSN, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01064200",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01064200",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NR14880600",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01064200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pniewski
• Vanessa L Pohl, MD
• Yarilyn Polanco
• Tatyana Poll, PA-C
• Edward B Poller, DDS
• Svitlana Pominov, MD
• Ajit P Ponnambalam, MD
• Anil R Ponnambalam, MD
• Michael Ponticello
• Allan Pontipiedra, A.P.N., C.

• Adult Health Nurse Practitioner in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.