BRANDEN STALLER
NPI 1760921043
Family Medicine in Highland Park, NJ

Active since February 19, 2017PECOS Enrolled
23 S 1ST AVE, HIGHLAND PARK, NJ 08904(732) 874-6063 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Apr 16, 2022, Aug 12, 2021 and 1 more (4 updates tracked since 2017).

About Branden Staller NPPES

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

BRANDEN STALLER (NPI 1760921043) is an individual family medicine provider in Highland Park, New Jersey, licensed in New Jersey (25MA10916500) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760921043
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRANDEN STALLER
Location Address23 S 1ST AVEHighland Park, NJ 08904-2113
Mailing Address23 S 1st AveHighland Park, NJ 08904-2113 · (732) 874-6063
Sole ProprietorNo
Enumeration DateFebruary 19, 2017
Last NPPES UpdateSeptember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
NPI 1760921043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NJ · 25MA10916500 Licensed in NY · P05157
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23 S 1ST AVE, Highland Park, NJ 08904

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08904 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
23 S 1ST AVE
HIGHLAND PARK, NJ 08904
Family Medicine
23 S 1ST AVE
HIGHLAND PARK, NJ 08904

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 Branden Staller's NPI number?

The NPI number for Branden Staller is 1760921043. It was assigned to this individual provider in the NPPES registry on February 19, 2017.

Where is Branden Staller located?

Branden Staller practices at 23 S 1st Ave, Highland Park, NJ 08904. The listed phone number is (732) 874-6063.

What is Branden Staller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Branden Staller enrolled in Medicare?

Yes. Branden Staller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Branden Staller was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.