Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stafford Medical, PA

Organization Family Medicine Physician · NPI 1558382457

Stafford Medical, PA provides Family Medicine Physician services 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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