Jamal Stephon Stephens

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5016 Bergenline Ave Unit 2
West New York, NJ 07093-5522

Phone

(609) 579-5592

NPI assigned

Mar 28, 2023

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blossum Developmental Solutions, LLC

  • Case Manager/Care Coordinator
  • West New York, NJ
  • NPI 1003613241
  NPD Authorized official

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1902500697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 BERGENLINE AVE UNIT 2",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935522",
            "telephone_number": "609-579-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 BERGENLINE AVE UNIT 2",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935522",
            "telephone_number": "609-579-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JAMAL",
        "middle_name": "STEPHON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonoview Consulting Inc.
• Sonoview Imaging LLC
• Jose M Soto Perello, MD
• Spine and Rehabilitation Center of West New York LLC
• Louis Marshall Steinberg, D.D.S., M.S.
• Benita Strickland, PTA
• Subtelny Face & Jaw LLC
• Sunrise Wellness
• Vadim Surikov, D.O.
• Daxa Surti, M.D.

• Case Manager/Care Coordinator in West New York, NJ
• Providers in West New York, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.