STATIONMD PROFESSIONAL CORPORATION
STATIONMD PROFESSIONAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1285015347, based in Maplewood, NJ. The organization lists 3 taxonomy classifications, with Emergency Medicine Physician recorded as primary.
Getting there
The practice address on file is 515 VALLEY ST STE 203, Maplewood, NJ 07040. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6204184104
Enrolled in Medicare 7 times, across 7 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New Jersey | O20180809001193 | Part B Supplier - Clinic/group Practice |
| New York | O20200331000327 | Part B Supplier - Clinic/group Practice |
| Ohio | O20200624003270 | Part B Supplier - Clinic/group Practice |
| Texas | O20231009000358 | Part B Supplier - Clinic/group Practice |
| Missouri | O20250102003138 | Part B Supplier - Clinic/group Practice |
| Georgia | O20251001003376 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20260126000553 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 7 separate enrolment records across 7 states (NJ, NY, OH, TX, MO, GA, PA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Emergency Medicine covers
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | — | — | primary |
| 261QD1600X | Developmental Disabilities Clinic/Center Developmental Disabilities | — | — | |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1285015347 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 15, 2015 |
| Last updated | Nov 14, 2025 |
| Status | Active |
| Practice address |
515 VALLEY ST STE 203 Maplewood, NJ 07040 (908) 663-2929 Fax (908) 663-2913 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 8 | 5 | 0 | 1 | 5 | 3 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 7 | 5 | 0 | 1 | 1 | 3 | 8 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.