Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881385797 Individual Practitioner Female Practitioner

Stephanie Carmen Custodio

Licensed Practical Nurse • Bridgeton, NJ

Professional Overview & Biography Verified Profile Summary

Stephanie Custodio is a registered healthcare professional specializing in Licensed Practical Nurse in Bridgeton, NJ. Practice services are available at 25 E BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25 E Broad St

Bridgeton, NJ 083022503

Telephone 8564592402
Associated Practice Facility / Clinic
🏢 Walgreen Co. Facility NPI 1306076989

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bridgeton, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Bridgeton, NJ (1119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NJ 26NP04816700

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

9 Landis Ave

Bridgeton, NJ 083024315

Phone: 8564514169

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Sarita Garcia , LPN

Licensed Practical Nurse

NPI 1184205718

Licensed Practical Nurse

Liliam Spieker

Pharmacist

NPI 1336754795
Michael Lancetta , RN

Registered Nurse

NPI 1477227684

Registered Nurse

NPI 1700168523

Doctor of Pharmacy (Pharm.D.)

NPI 1831467828

Doctor of Pharmacy (Pharm.D.)

NPI 1932711496

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2023

Registered at 25 E BROAD ST, BRIDGETON, NJ 083022503 (Tel: 8564592402)

📍
Updated Business Mailing Address May 19, 2023

Registered at 1026 FALCON WAY, VINELAND, NJ 083604469 (Tel: 6098056509)

👤
Provider Name / Credentials Updated May 19, 2023

Recorded as STEPHANIE CUSTODIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2023

Licensed Practical Nurse (License #26NP04816700 in NJ)

🟢
Initial NPI Registration & Enumeration May 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881385797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2023
Last Update: May 19, 2023
Sole Proprietor: No

Mailing Address

1026 Falcon Way

Vineland, NJ 083604469

Phone: 6098056509

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.