Stacey Montefusco, MS, ATC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MT00138800 Issued in NJ

Practice address

4810 Belmar Blvd
Neptune, NJ 07753-6952

Phone

(732) 938-6090

Fax

(732) 938-5680

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By the provider in NPPES

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 names 1

• Stacey Herrin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1114426566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 LEE AVE",
            "city": "BELFORD",
            "state": "NJ",
            "postal_code": "077181514",
            "telephone_number": "301-535-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BELMAR BLVD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536952",
            "telephone_number": "732-938-6090",
            "fax_number": "732-938-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEFUSCO",
        "first_name": "STACEY",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MT00138800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HERRIN",
            "credential": "MS, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ahmed A Mohsen, M.D.
• Gregg Edward Mojares, D.O.
• Monmouth Psychiatric Center Inc
• Monmouth-Ocean Neurology PC
• Monmouth-Ocean Psychotherapy Associates LLC
• David L Monteleone, DPT
• Irena Moore, LPC, LCADC
• Jessie Showers Moore, RNC, CD
• Albert Morabia, DO
• Morgan Dermatology

• Orthopaedic Surgery Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.