Stacey Barbossa, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00454600 Issued in NJ

Practice address

1637 John F Kennedy Blvd
Jersey City, NJ 07305-1865

Phone

(201) 435-0900

Fax

(201) 435-0911

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033280367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051865",
            "telephone_number": "201-435-0900",
            "fax_number": "201-435-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051865",
            "telephone_number": "201-435-0900",
            "fax_number": "201-435-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOSSA",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00454600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole B Baptiste, M.D.
• Dennis Ignacio Baquiran, P.T.
• Kimberlyn Jane Baquiran, P.T.
• Ani Baran, L.AC
• Nathaniel Augustus Barber, MD
• Nicole G Barclay, LICENSED SOCIAL WORK
• Paula Lisa Bardales, LCSW
• Margaret Jane Bardi, PHARMD
• Dominique Bariso, D.C., L.AC.
• Barnabas Health Medical Group PC

• Sports Physician Chiropractor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.