Stefanie Nicosia, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00436200 Issued in NJ

Practice address

731 Alexander Rd Ste 202
Princeton, NJ 08540-6345

Phone

(609) 921-7456

Fax

(609) 921-2972

NPI assigned

May 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Healthcare Associates of New Jersey Specialty Practices PCGroup PAC ID 9335655026, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Clinical Healthcare Associates of New Jersey Specialty Practices PC

  • Hematology & Oncology Physician
  • Cherry Hill, NJ
  • NPI 1104632546
  Medicare reassignment Care Compare group NPD
• Clinical Healthcare Associates of New Jersey Specialty Practices PC

  • Psychologist
  • Plainsboro, NJ
  • NPI 1235084971
  NPD
• Clinical Healthcare Associates of New Jersey Specialty Practices PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Plainsboro, NJ
  • NPI 1457168270
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton Medical Center

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1073950382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD STE 202",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "609-921-7456",
            "fax_number": "609-921-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD STE 202",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "609-921-7456",
            "fax_number": "609-921-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOSIA",
        "first_name": "STEFANIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00436200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "26NJ00436200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Randall Nichols, PH.D.
• Nicola Counseling Services, LLC (Widian Nicola Counseling Services, LLC)
• Widian Nicola-Jacobo, DSW, LCSW
• Nicole Cirigliano
• Nicole Schrader, MD Facial Plastic and Reconstructive Surgery, LLC
• Jonathan Louis Nicozisis, DMD, MS
• Olga Nieves, FNP-BC
• Janice Nini, RN
• Susan Ray Nipps
• Mary Beth Nixon, M.A., BCBA

• Nurse Practitioner in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.