Stephanie Carmen Custodio, - Licensed Practical Nurse in Bridgeton, NJ

Stephanie Carmen Custodio, is a Licensed Practical Nurse based in Bridgeton, New Jersey. Stephanie Carmen Custodio is licensed to practice in New Jersey (license number 26NP04816700) and her current practice location is 25 E Broad St, Bridgeton, New Jersey. She can be reached at her office (for appointments etc.) via phone at (856) 459-2402.

NPI number for Stephanie Carmen Custodio is 1881385797 and her current mailing address is 1026 Falcon Way, Vineland, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881385797.

Contact Information

Stephanie Carmen Custodio,
25 E Broad St,
Bridgeton, NJ 08302-2503
(856) 459-2402
Not Available



Provider's Profile

Full NameStephanie Carmen Custodio
GenderFemale
SpecialityLicensed Practical Nurse
Location25 E Broad St, Bridgeton, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881385797
  • Provider Enumeration Date: 05/19/2023
  • Last Update Date: 05/19/2023

Medical Identifiers

Medical identifiers for Stephanie Carmen Custodio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881385797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 26NP04816700 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Carmen Custodio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Carmen Custodio,
1026 Falcon Way,
Vineland, NJ 08360-4469

Ph: (609) 805-6509
Stephanie Carmen Custodio,
25 E Broad St,
Bridgeton, NJ 08302-2503

Ph: (856) 459-2402

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› Verified 4 days ago


Licensed Practical Nurse Nurses in Bridgeton, NJ

Carol Shenton, ANP
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 70 Cohansey St, Bridgeton, NJ 08302
Phone: 856-451-4700    Fax: 856-451-0029
Korea Corley, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5 Longview Dr, Bridgeton, NJ 08302
Phone: 800-950-6066    
Andrea Mccoy, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 14 Northville Rd, Bridgeton, NJ 08302
Phone: 800-950-6066    
Nicole Lane, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 86 Dare Ave, Bridgeton, NJ 08302
Phone: 800-950-6066    
Roldie Jones, APRN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 70 Cohansey St, Bridgeton, NJ 08302
Phone: 856-451-4700    Fax: 856-451-0029
Sarita Garcia, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 25 E Broad St, Bridgeton, NJ 08302
Phone: 856-459-2402    
Ms. Dorothy M Rollar, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 85 Rosenhayn Ave, Bridgeton, NJ 08302
Phone: 856-455-2577    Fax: 856-455-2577

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