STEPHAN JAMES GOLEMBIOSKI (MD) – Internal Medicine Physician, NPI 1457095887

STEPHAN JAMES GOLEMBIOSKI (MD) is a healthcare provider. based in Lafayette, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA12703200 (NJ). The NPI Number for STEPHAN JAMES GOLEMBIOSKI (MD) is 1457095887

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
STEPHAN JAMES GOLEMBIOSKI (MD)
NPI
1457095887
Phone
(973) 461-6454
Address
144 MEADOWS RD
Enumeration Date
22 April 2022
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6096533500
Graduation Year
2022 (4 years ago)
PAC ID
6204341449
Group Practice PAC ID
2567789019
Professional Enrollment ID
I20250716000663
Address ID
NJ082442340SO1XXXXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

Provider Addresses for STEPHAN JAMES GOLEMBIOSKI (MD)

  • 144 MEADOWS RD

    LAFAYETTE, NJ 078483123

    Phone: (973) 461-6454

    Type: Mailing

  • 1925 PACIFIC AVE

    ATLANTIC CITY, NJ 084016713

    Phone: (609) 441-8074

    Type: Location

  • 633 PELICAN LN

    MAYS LANDING, NJ 083305605

    Phone: (973) 461-6454

    Type: Mailing

  • 100 MEDICAL CENTER WAY

    SOMERS POINT, NJ 082442300

    Phone: (609) 653-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250716000663IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07848)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567789019View full group profile
NameSpecialtyState
Internal MedicineNJ
Internal MedicineNJ
Nurse PractitionerNJ
Internal MedicineNJ
Internal MedicineDE
Family PracticeMS
-NJ
Internal MedicineNJ
General PracticeFL
Hospitalist, Internal MedicineFL

Reviews

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Frequently asked questions

How is STEPHAN JAMES GOLEMBIOSKI (MD) identified in CMS data?
CMS-hosted NPPES data lists STEPHAN JAMES GOLEMBIOSKI (MD) with NPI 1457095887.
Can I rely on STEPHAN JAMES GOLEMBIOSKI (MD) being an active provider?
As of the registry snapshot, STEPHAN JAMES GOLEMBIOSKI (MD) is marked active.
What is STEPHAN JAMES GOLEMBIOSKI (MD)'s specialty?
The listing groups STEPHAN JAMES GOLEMBIOSKI (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is STEPHAN JAMES GOLEMBIOSKI (MD) based?
STEPHAN JAMES GOLEMBIOSKI (MD) is tied to Lafayette, New Jersey in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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