STEPHEN AMAEFUNA MD NPI 1205842408

NPI Information

NPI: 1205842408
Provider Name: STEPHEN AMAEFUNA, MD
Classification: Pediatrics - 2080P0204X
Specialization: Pediatric Emergency Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 4 FAAS CT
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 715-2688

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NPI Details

Stephen Amaefuna, MD is a pediatric emergency medicine pediatrics in West Orange, NJ. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Stephen Amaefuna, MD NPI is 1205842408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 FAAS CT
WEST ORANGE, NJ
ZIP 07052-652
Phone: (973) 715-2688
Fax: (973) 324-9725

The NPI 1205842408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 1/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MA63115	NEW JERSEY	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MA63115	NEW JERSEY	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	25MA06311500	NEW JERSEY	Yes
4	207PE0004X	Emergency Medicine	Emergency Medical Services	063115	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7177402	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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