Active NPI
Ileana M. Stephano, PA-C
- Physician Assistant
- Langhorne, PA
National Provider Identifier
1972541555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA050700
- Practice address
- 1202 Langhorne Newtown Rd
Langhorne, PA 19047-1234 - Phone
- (215) 710-2100
- Fax
- (215) 710-5861
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA050700 | PA | Primary |
Addresses
Primary practice location
1202 Langhorne Newtown Rd
Langhorne, PA 19047-1234
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA050700 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1972541555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 LANGHORNE NEWTOWN RD",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471234",
"telephone_number": "215-710-2100",
"fax_number": "215-710-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHANO",
"first_name": "ILEANA",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA050700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
- Hailee Stauffer, MSW, HSV
- Stay Young Fitness Corporation
- STC Pediatrics LLC (St. Christopher's Pediatric Associates Cardiology - Langhorne)
- Jessica Haley Stecklein, PA-C
- Irene Maria Stenson, DO
- Sterling Clinical Laboratory, Inc
- Kristin Michelle Sterling, BEHAVIOR TECHNICIAN
- Kathryn Stern, MS OTR/L
- Doris M. Sterner, MSW, LCSW
- Stevan Physical Therapy and Rehabilitation, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.