Jamal Stephon Stephens
Case Manager/Care Coordinator in West New York, NJ. Individual provider (NPI-1).
NPI number1902500697
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1902500697
- Entity type
- Individual (NPI-1)
- Name
- Jamal Stephon Stephens
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2023
- Certification date
- Mar 28, 2023
- Last updated
- Mar 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
5016 Bergenline Ave Unit 2West New York, NJ 07093-5522
Phone 609-579-5592
Mailing address
5016 Bergenline Ave Unit 2West New York, NJ 07093-5522
Phone 609-579-5592
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Case Manager/Care Coordinator providers in West New York · All 579 providers in West New York
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