Stacey L Shaw
MONTCLAIR BREAST CENTER PC


Address: 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Phone: 9735091818

Stacey L Shaw (NPI# 1407059439, PAC ID# 6103126859) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1407059439
PAC ID by PECOS 6103126859
Professional Enrollment ID I20151202000164
Full Name Stacey L Shaw
Organization Legal Name MONTCLAIR BREAST CENTER PC
Address 37 N Fullerton Ave
2nd Floor
Montclair
NJ 07042-3446
Phone Number 9735091818
Gender F
Graduation Year 2006
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6608881602
Number of Group Practice Members 8
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446 9735091818 MONTCLAIR BREAST CENTER PC
37 N Fullerton Ave, Montclair, NJ 07042-3446 9735091818 MONTCLAIR BREAST CENTER PC

Organization Information

Organization Legal Name MONTCLAIR BREAST CENTER PC
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Joo Young M Lee Diagnostic Radiology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Marcie Bregman Hertz General Surgery Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Stacey Marie Vitiello Diagnostic Radiology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Gail E Quackenbush Diagnostic Radiology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Laura J Borgos General Surgery Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Nancy L Elliott Surgical Oncology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Kruti Mcdonald Physician Assistant Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446

Office Location

Street Address 37 N FULLERTON AVE
2ND FLOOR
City MONTCLAIR
State NJ
Zip 07042-3446

Physicians in the same location

Name Specialty Organization Address
Joo Young M Lee Diagnostic Radiology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Marcie Bregman Hertz General Surgery Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Stacey Marie Vitiello Diagnostic Radiology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Gail E Quackenbush Diagnostic Radiology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Laura J Borgos General Surgery Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Nancy L Elliott Surgical Oncology Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Allen D Rosen Plastic and Reconstructive Surgery The Plastic Surgery Group Pa 37 N Fullerton Ave, Montclair, NJ 07042-3426
Valerie J Ablaza Plastic and Reconstructive Surgery The Plastic Surgery Group Pa 37 N Fullerton Ave, Montclair, NJ 07042-3426
Kruti Mcdonald Physician Assistant Montclair Breast Center PC 37 N Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3446
Teresa A Hartman Physician Assistant The Plastic Surgery Group Pa 37 N Fullerton Ave, Montclair, NJ 07042-3426
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Arnaldo Apolito Psychiatry 80 Undercliff Rd, Montclair, NJ 07042-1718
Kristine T Kaufman Physical Therapy Varsha Pohuja LLC 403 Claremont Ave, Montclair, NJ 07042-1801
Patrick Dipaolo Hematology/oncology 781 Bloomfield Ave, Montclair, NJ 07042-1806
Shae Cali Clinical Social Worker 1 Upper Mountain Ave, Montclair, NJ 07042-1871
Robert Friedman Clinical Social Worker 30 Orange Rd, Montclair, NJ 07042-2110
Marisol Vazquez Registered Dietitian Or Nutrition Professional Back To Basics Nutrition Counseling, LLC 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129
Linda A Ditullio Clinical Social Worker 8 Hillside Ave, Suite 108 6, Montclair, NJ 07042-2129
Beth Dibiase Fiorarancio Clinical Social Worker 8 Hillside Ave, Suite 206, Montclair, NJ 07042-2129
Megan Marchaterre Registered Dietitian Or Nutrition Professional Back To Basics Nutrition Counseling, LLC 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129
Faith C Dunkel Psychologist, Clinical 8 Hillside Ave, Suite 108, Montclair, NJ 07042-2129
Find all physicians in zip 07042

Competitor

Search similar physicians

City MONTCLAIR
Zip Code 07042
Specialty NURSE PRACTITIONER
City + Specialty MONTCLAIR + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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