STEPHANIE CAVICCHIA
NPI 1417813353
General Practice in Pittsgrove, NJ

Active since January 05, 2026PECOS Enrolled
980 LAUREL LN, PITTSGROVE, NJ 08318(856) 689-0492 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Cavicchia NPPES

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

STEPHANIE CAVICCHIA (NPI 1417813353) is an individual general practice provider in Pittsgrove, New Jersey, licensed in New Jersey (AG12250071) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417813353
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSTEPHANIE CAVICCHIA
Location Address980 LAUREL LNPittsgrove, NJ 08318-4064
Mailing Address980 Laurel LnPittsgrove, NJ 08318-4064 · (856) 689-0492
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 4, 2026
NPI 1417813353 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 · AG12250071
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

980 LAUREL LN, Pittsgrove, NJ 08318

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Cavicchia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779053293
PECOS Enrollment IDI20260526003437
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.

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 Cavicchia's NPI number?

The NPI number for Stephanie Cavicchia is 1417813353. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Stephanie Cavicchia located?

Stephanie Cavicchia practices at 980 Laurel Ln, Pittsgrove, NJ 08318. The listed phone number is (856) 689-0492.

What is Stephanie Cavicchia's specialty?

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

Is Stephanie Cavicchia enrolled in Medicare?

Yes. Stephanie Cavicchia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Cavicchia was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.