MEDICARE: STEPHEN CALEB HART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI04450700	NJ

General Provider Information

NPI Number	:	1538016746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN CALEB HART

Provider Business Mailing Address
First Line	:	70 GREENE ST APT 2204
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7597
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 ENGLE ST
Second Line	:
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-1808
Country	:	US
Telephone Number	:	201-894-3375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ STEPHEN CALEB HART ” Practice Location

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