Healthcare Provider Details

I. General information

NPI: 1770531873
Provider Name (Legal Business Name): KAREN STEPHENSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 WASHINGTON ST
HOBOKEN NJ
07030-7221
US

IV. Provider business mailing address

88 HIGH ST
MONTCLAIR NJ
07042-2415
US

V. Phone/Fax

Practice location:
  • Phone: 201-754-1006
  • Fax:
Mailing address:
  • Phone: 973-434-9944
  • Fax: 732-937-5358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number215077
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA07917900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number215077
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA07917900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: