Stephen E Paul DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB02548900 Issued in NJ

Legal business name

STEPHEN E PAUL DO PA

Practice address

111 E Main St
Maple Shade, NJ 08052-2679

Phone

(856) 779-9220

Fax

(856) 779-7890

NPI assigned

Jun 14, 2008

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen E. Paul, D.O.NPI 1629075759

Title

President

Phone

(856) 779-9220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stephen E. Paul, D.O. Dr. Stephen E. Paul P.A. Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen E. Paul, D.O.

  • Family Medicine Physician
  • Maple Shade, NJ
  • NPI 1629075759
  Authorized official Same address or phone

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1841450616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522679",
            "telephone_number": "856-779-9220",
            "fax_number": "856-779-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522679",
            "telephone_number": "856-779-9220",
            "fax_number": "856-779-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E PAUL DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-779-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02548900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080169223",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen E. Paul, D.O. Dr. Stephen E. Paul P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.