PAULETTE DENISE STANFORD MD NPI 1801967740

NPI Information

NPI: 1801967740
Provider Name: PAULETTE DENISE STANFORD, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
90 BERGEN ST
DOC 4300
NEWARK, NJ
ZIP 07103
Phone: (973) 972-2100
Get Directions

Paulette Denise Stanford, MD is an adolescent medicine pediatrics in Newark, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Paulette Denise Stanford, MD NPI is 1801967740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 BERGEN ST
DOC 4300
NEWARK, NJ
ZIP 07103-425
Phone: (973) 972-2100
Fax: (973) 972-2102

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	25MA03453500	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0648507	MEDICAID	NEW JERSEY
2	E54126	MEDICARE UPIN
3	553626	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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