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

Courtney Destefano

Individual provider Family Nurse Practitioner · NPI 1780219410

Courtney Destefano is a Nurse Practitioner in Hackensack, New Jersey. Graduated from Jefferson Medical College of Thomas Jefferson University in 2019, 7 years ago. Practices with Ennoble Hc Nj PC, a 127-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

2 University Plz Ste 204
Hackensack, NJ 07601-6211
Phone: (551) 295-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 525 Route 73 N Ste 117, Marlton, NJ 08053-3422 — (856) 528-7082
  • 994 W Sherman Ave Bldg 2, Vineland, NJ 08360-6937 — (631) 534-7246
  • 1000 Haddonfield Berlin Rd Ste 205, Voorhees, NJ 08043-3520 — (551) 295-8223
  • 727 Welsh Rd Ste 310b, Huntingdon Valley, PA 19006-6310 — (267) 951-3328
  • 170 N Henderson Rd Ste 310, King Of Prussia, PA 19406-2155 — (267) 548-4172
  • 2418 E York St, Philadelphia, PA 19125-3006 — (267) 548-4216

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ01015900 (NJ)

Record details

NPI number1780219410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Ennoble Hc Nj Pc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hackensack