Individual provider Active NPI

Stephanie Wanda Checo Nolasco

  • Nurse Practitioner
  • Paterson, NJ
National Provider Identifier
1144704693
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00850600 Issued in NJ
Practice address
606 Broadway
Paterson, NJ 07514-1916
Phone
(973) 523-1800
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 26NJ00850600 NJ Primary

Addresses

Primary practice location

606 Broadway
Paterson, NJ 07514-1916

Mailing address

166 Sheridan Ave
Clifton, NJ 07011-3336
Phone (862) 368-2657

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
I20181129000014 NJ Practitioner - Nurse Practitioner 0648514869 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Plus NJ IncGroup PAC ID 9436160553, 52 clinicians

Practice addresses (Care Compare)

610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 265-8200

650 Bloomfield Ave
Suite 106
Bloomfield, NJ 07003-2542
Phone (201) 265-8200

Careplus NJ Inc
610 Valley Health Plaza
Paramus, NJ 07652-3607

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Plus NJ, Inc. Single Specialty CurrentSince Nov 18, 2024 Accepting new patients
Radiology and Rehab PA LLC CurrentSince Feb 16, 2021 Accepting new patients
Care Plus NJ, Inc CurrentSince Nov 18, 2024 Accepting new patients
Dr Luis F Luna MD LLC Single Specialty CurrentSince Oct 11, 2020 Accepting new patients
G&S Medical Associates LLC Single Specialty CurrentSince Oct 17, 2018 Accepting new patients
NJ Memory and Behavioral Care Single Specialty CurrentSince Feb 1, 2024 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500

540 Straight St
Unit 2C
Paterson, NJ 07503
Phone (862) 657-5500

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

185 6th Ave
Ste 1
Paterson, NJ 07524
Phone (201) 655-3207

185 6th Ave
Paterson, NJ 07524
Phone (973) 782-5550

575 Route 28
Bldg 2
Raritan, NJ 08869
Phone (973) 295-6335

Organizations & group practices 6

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1144704693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SHERIDAN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113336",
            "telephone_number": "862-368-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141916",
            "telephone_number": "973-523-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECO NOLASCO",
        "first_name": "STEPHANIE",
        "middle_name": "WANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00850600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.