Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. STACIE MICHELE ANDERSON DVM
NPI 1043118201
General Practice in Medford, NJ

Active since October 28, 2026
177 CHURCH RD, MEDFORD, NJ 08055(609) 953-8733 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Stacie Michele Anderson Dvm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACIE MICHELE ANDERSON DVM (NPI 1043118201) is an individual general practice provider in Medford, New Jersey, licensed in New Jersey (29VI00905400) and active in the NPI registry since October 2026. She maintains a secondary practice location in Cherry Hill.

NPPES Registry Identity

NPI1043118201
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. STACIE MICHELE ANDERSONCredential: DVM
Location Address177 CHURCH RDMedford, NJ 08055-9512
Mailing Address860 Garden Park Blvd Ste A2Cherry Hill, NJ 08002-2219 · (856) 323-9146
Sole ProprietorNo
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1043118201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NJ · 29VI00905400
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
177 CHURCH RD, Medford, NJ 08055

Other Names 1

Other Name (5)Stacie Aardvark

Secondary Practice Location 1

Location 1860 Garden Park Blvd Ste A2Cherry Hill, NJ 08002-2219 · Phone (856) 323-9146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Anderson's NPI number?

The NPI number for Stacie Anderson is 1043118201. It was assigned to this individual provider in the NPPES registry on October 28, 2026. The provider is also known as Stacie Aardvark.

Where is Stacie Anderson located?

Stacie Anderson practices at 177 Church Rd, Medford, NJ 08055. The listed phone number is (609) 953-8733.

What is Stacie Anderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Stacie Anderson was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.