Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stafford Medical, PA

Organization Family Medicine Physician · NPI 1558382457

Stafford Medical, PA is a Family Medicine Physician in Manahawkin, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
9
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1364 Route 72 W
Manahawkin, NJ 08050-2485
Phone: (609) 597-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 76658 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 66536 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34153 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 64888 (NJ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 47030 (NJ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 44189 (NJ)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 53192 (NJ)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 24422 (NJ)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 45227 (NJ)

Record details

NPI number1558382457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Ruiz — Partner · (609) 597-3416
NPI enumeratedJuly 23, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1364 Route 72 W, Manahawkin, NJ 08050-2485

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