Mary Joan Stiuso, APN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

NC08530100 Issued in NJ

Practice address

174 Grand Ave
Englewood, NJ 07631-3585

Phone

(201) 788-1000

Fax

(201) 767-3463

NPI assigned

Jun 6, 2007

Last updated

Dec 9, 2014By the provider in NPPES

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1083817241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W OAK ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462220",
            "telephone_number": "201-327-0234",
            "fax_number": "201-767-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313585",
            "telephone_number": "201-788-1000",
            "fax_number": "201-767-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIUSO",
        "first_name": "MARY JOAN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "NC08530100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M. Yager, DPM, Facfas LLC
• Le'Shea Yanira Stewart
• Joseph Michael Stinelli, PA-C
• Gianna Louisa Stirone, DPT
• Kerry Stith
• Jane Ellen Stone, M.D.
• Gabriel Martin Strauss
• Laurie Strawgate Kanefsky, PH.D.
• Ronald Edward Strobel, MD
• Leroy Strom, MD

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.