Provider Demographics
NPI:1932704509
Name:ADJEI, STEPHEN A (FNP, NP-C)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:A
Last Name:ADJEI
Suffix:
Gender:M
Credentials:FNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7457
Mailing Address - Country:US
Mailing Address - Phone:973-276-3026
Mailing Address - Fax:862-702-3301
Practice Address - Street 1:248 REYNOLDS TER APT 4N
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3334
Practice Address - Country:US
Practice Address - Phone:973-413-0235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14799800163WR0400X
NJ26NJ01104100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation