Basic Information
Provider Information
NPI: 1033205323
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKERS
FirstName: STEPHEN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 FEDERAL ST # 100
Address2:  
City: CAMDEN
State: NJ
PostalCode: 081031088
CountryCode: US
TelephoneNumber: 8563564924
FaxNumber:  
Practice Location
Address1: 900 CENTENNIAL BLVD
Address2: SUITE K
City: VOORHEES
State: NJ
PostalCode: 080434689
CountryCode: US
TelephoneNumber: 8563256789
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 08/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMD028378EPAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200XMA48237NJN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XMD028378EPAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001XMA48237NJY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
000006826401NJOPERATING ENGINEERSOTHER
033349800001NJAMERIHEALTH HMOOTHER
101021801NJHORIZON NJ HEALTHOTHER
11008423001NJRAILROAD MEDICAREOTHER
1916001NJUNIVERSITY HEALTH PLANOTHER
653417501NJCIGNA HEALTH PLANOTHER
3K614801NJHEALTHNET, INCOTHER
19642601ALPENNSYLVANIA BLUE SHIELDOTHER
P8958501NJOXFORD HEALTH PLANOTHER
394830705NJ MEDICAID
00019642601NJAMERIHEALTH PPO PABSOTHER
124202101NJUNITED HEALTH CAREOTHER
70919501NJAETNA US HEALTHCAREOTHER
CA000018201NJAMERICHOICEOTHER


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