Individual provider Active NPI

Stacia Royes, APN

  • Adult Health Nurse Practitioner
  • Linden, NJ
National Provider Identifier
1033755962
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00991100 Issued in NJ
Practice address
520 N Wood Ave
Linden, NJ 07036-4147
Phone
(908) 587-9300
Fax
(908) 587-1901
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00991100 NJ Primary

Addresses

Primary practice location

520 N Wood Ave
Linden, NJ 07036-4147

Mailing address

520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013000024 NJ Practitioner - Nurse Practitioner 4486074556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1150 Dickinson St
Elizabeth, NJ 07201-2210
Phone (908) 354-8900

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300

635 Market St
Newark, NJ 07105-3618
Phone (973) 344-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00991100NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Cardiovascular Specialists P.C CurrentSince Aug 1, 2020 Accepting new patients
Hudson MD Group CurrentSince Oct 22, 2023 Accepting new patients
NJ Urgentcare Past Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

1150 Dickinson St
Elizabeth, NJ 07201
Phone (201) 952-6520

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

520 N Wood Ave
Linden, NJ 07036
Phone (908) 587-1330

550 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 482-4697

635 Market St
Newark, NJ 07105
Phone (201) 952-6520

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECGBD/Endpoint/JECGBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1033755962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364147",
            "telephone_number": "908-587-9300",
            "fax_number": "908-587-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364147",
            "telephone_number": "908-587-9300",
            "fax_number": "908-587-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYES",
        "first_name": "STACIA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00991100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.