DR. RICHARD G STEFANACCI SR. (NPI# 1366644809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366644809 |
| Entity Type | Individual |
| Full Name | DR. RICHARD G STEFANACCI SR. |
| Credential | DO |
| Practice Address |
338 Chestnut St Passaic NJ 07055 |
| Practice Telephone | 9734719494 |
| Practice Fax Number | 9737784649 |
| Mailing Telephone | 9734719494 |
| Mailing Fax Number | 9737784649 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MB016547 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1451901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689748600 | Richard Gebriel Stefanacci | Internal Medicine | 600 S 43rd St, Philadelphia, PA 19104-4418 | 2006-11-20 |
| 1871637090 | Richard B Stefanacci | Pharmacist | 45 Goodyear Blvd, Akron, OH 44305-4032 | 2007-02-19 |
| Street Address |
338 CHESTNUT ST |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992883235 | Paul Demuro | Family Medicine | 338 Chestnut St, Passaic, NJ 07055 | 2006-11-02 |
| 1184889818 | Chestnut Hill Residence | Assisted Living Facility | 338 Chestnut St, Passaic, NJ 07055-3158 | 2008-07-22 |
| 1588824163 | Demuro & Associates LLC | Clinic/Center | 338 Chestnut St, Passaic, NJ 07055-3158 | 2008-06-17 |
| 1043408966 | Chestnuthill Physicians Group | Family Medicine | 338 Chestnut St, Passaic, NJ 07055-3158 | 2007-10-04 |
| 1982892808 | Stefanacci & Demuro,do's | Family Medicine | 338 Chestnut St, Passaic, NJ 07055-3158 | 2007-10-04 |
| 1275674970 | Chestnut Hill Residence | Assisted Living Facility | 338 Chestnut St, Passaic, NJ 07055-3158 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770997744 | Integrated Wound Care LLC | General Practice | 143 Ascension St, Passaic, NJ 07055-3515 | 2014-06-17 |
| 1811971229 | Carlos Sacristan | General Practice | 17-19 Howe Ave, Passaic, NJ 07055-4017 | 2005-11-30 |
| 1629363627 | Carlos Sacristan, M.d., LLC | General Practice | 17-19 Howe Ave, Passaic, NJ 07055-4017 | 2011-06-17 |
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| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.