1. Home
  2. Directory
  3. New Jersey
  4. Wayne
  5. Internal Medicine
  6. NPI Profile

DR. STEPHANIE DUARTE M.D.
NPI 1316391907
Internal Medicine in Wayne, NJ

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
1578 RTE 23 STE 203, WAYNE, NJ 07470(973) 706-0244 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 30, 2020, Oct 29, 2019 (2 updates tracked since 2019).

About Dr. Stephanie Duarte M.d. NPPES

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

DR. STEPHANIE DUARTE M.D. (NPI 1316391907) is an individual internal medicine provider in Wayne, New Jersey, licensed in New Jersey (25MA10575300) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2016).

NPPES Registry Identity

NPI1316391907
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHANIE DUARTECredential: M.D.
Location Address1578 RTE 23 STE 203Wayne, NJ 07470-7516
Mailing Address1578 Route 23 Ste 203Wayne, NJ 07470-7516
Phone(973) 706-0244
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateJune 30, 20202 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1316391907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA10575300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1578 RTE 23 STE 203, Wayne, NJ 07470
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Duarte M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981949468
PECOS Enrollment IDI20191017002067
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services94 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
70 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers31 claims84 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers11 claims14 services$1.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stephanie Duarte's NPI number?

The NPI number for Stephanie Duarte is 1316391907. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Stephanie Duarte located?

Stephanie Duarte practices at 1578 Rte 23 Ste 203, Wayne, NJ 07470. The listed phone number is (973) 706-0244.

What is Stephanie Duarte's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephanie Duarte enrolled in Medicare?

Yes. Stephanie Duarte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stephanie Duarte affiliated with any hospitals?

According to CMS data, Stephanie Duarte is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Valley Hospital and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Duarte was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.