Provider Demographics
NPI:1710041496
Name:NEFF, STEPHEN (APN)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:NEFF
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 MARLTON PIKE E STE V107
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4212
Mailing Address - Country:US
Mailing Address - Phone:856-751-4127
Mailing Address - Fax:888-745-4079
Practice Address - Street 1:1930 MARLTON PIKE E STE V107
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4212
Practice Address - Country:US
Practice Address - Phone:856-751-4127
Practice Address - Fax:888-745-4079
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12454700163W00000X
NJ26NJ00123800363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0136751Medicaid