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

Dr. Derek Allen Stephenson, MD

Individual provider Surgery Physician · NPI 1740441443

Dr. Derek Allen Stephenson, MD is a General Surgery in Vineland, New Jersey. Graduated from Morehouse School of Medicine in 2008, 18 years ago. Practices with Esa South Jersey Bariatrics, PA, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona, Florida and New Jersey.

Years since qualifying
18
Trained at
Morehouse School of Medicine
Licensed in
AZ, FL, NJ
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1103 W Sherman Ave Bldg 2 Unit C
Vineland, NJ 08360
Phone: (856) 362-5259
Fax: (856) 405-6978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA09618900 (NJ)
Surgery Physician Taxonomy 208600000X · Licence R70529 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence ME116873 (FL)

Record details

NPI number1740441443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2008
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address1103 West Sherman Avenue, Building 2 Unit C, Vineland, NJ 08360

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Esa South Jersey Bariatrics, P.A. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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