Active NPIIndividual provider

Mrs. Stephanie Fernandez, PAC

Physician Assistant, Surgical in Neptune, New Jersey

NPI Number1679824908
Practice location
19 Davis Ave, Fl 4, Neptune, NJ 07753
Fax
—
Last updated
October 1, 2026

Stephanie Fernandez is a Physician Assistant, Surgical based in Neptune, NJ. Stephanie Fernandez practices in Neptune, NJ and has the professional credentials of PAC. The NPI Number for Stephanie Fernandez is 1679824908 and holds a License No. 015963 (NY). The current practice location address for Stephanie Fernandez is 19 Davis Ave, Fl 4, Neptune, NJ 07753 and can be reached out via phone at 732-212-6598.

Provider Profile Details

NPI Number
1679824908
Provider Name
Stephanie Fernandez
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
19 Davis Ave, Fl 4, Neptune, NJ 07753
Phone Number
732-212-6598
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
Ms. Stephanie Susino, PAC (Former Name)
Provider Enumeration Date
September 26, 2012
Last Update Date
October 1, 2026
Certification Date
October 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Davis Ave
Fl 4
Neptune, NJ 07753
Zip
07753
Phone Number
732-212-6598
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD
Bldg 2, Ste 220
Red Bank, NJ 07701-5688
City
Red Bank
State
NJ
Zip
07701-5688

License Information

License Number (1)
015963
License State (1)
NY
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
015963
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
25MP00689500
License State (3)
NJ
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Stephanie Fernandez, PAC?

The NPI number of Mrs. Stephanie Fernandez, PAC is 1679824908. It was assigned on September 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stephanie Fernandez, PAC?

Mrs. Stephanie Fernandez, PAC is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 015963.

Where does Mrs. Stephanie Fernandez, PAC practice?

The practice location is 19 Davis Ave, Fl 4, Neptune, NJ 07753. The office can be reached at 732-212-6598 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679824908 directly on the NPPES registry website.

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