Individual provider Active NPI

Stephanie Rey, NP

  • Family Nurse Practitioner
  • Passaic, NJ
National Provider Identifier
1184443087
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15171100 Issued in NJ
Practice address
260 Gregory Ave Apt B10
Passaic, NJ 07055-3818
Phone
(201) 777-0518
Fax
(928) 272-7680
NPI assigned
Oct 8, 2024
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 355563 NY
Nurse Practitioner 363L00000X 1203385 TX
Nurse Practitioner 363L00000X AC007154 MD
Nurse Practitioner 363L00000X 5022699 NC
Nurse Practitioner 363L00000X 0024193959 VA
Nurse Practitioner 363L00000X SP032420 PA
Nurse Practitioner 363L00000X A183208 IA
Nurse Practitioner 363L00000X TPAN3125 FL
Nurse Practitioner 363L00000X 4704431478 MI
Family Nurse Practitioner 363LF0000X 26NJ15171100 NJ Primary

Addresses

Primary practice location

260 Gregory Ave Apt B10
Passaic, NJ 07055-3818

Mailing address

260 Gregory Ave Apt B10
Passaic, NJ 07055-3818
Phone (201) 777-0518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, IA, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250305003548 NJ Practitioner - Nurse Practitioner 0446771570 Reassigns benefits to 2 organizations
I20250627002611 NY Practitioner - Nurse Practitioner 0446771570 Reassigns benefits to 1 organization
I20250701004610 IA Practitioner - Nurse Practitioner 0446771570 Reassigns benefits to 1 organization
I20260227002803 MI Practitioner - Nurse Practitioner 0446771570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Merion Square Road Medical PCGroup PAC ID 0446605422, 22 clinicians
Parkway Preventive Medical Care PLLCGroup PAC ID 8820536428, 3 clinicians

Practice addresses (Care Compare)

1333 Wells St
Niles, MI 49120-1543
Phone (212) 734-6621

2150
Suite 38
Cherry Hill, NJ 08002-4302
Phone (212) 734-6621

260 Gregory Ave
Apt B10
Passaic, NJ 07055-3818
Phone (646) 598-8338

4303 14TH Ave
Brooklyn, NY 11219-1678
Phone (212) 734-6621

6420 Council St NE
Cedar Rapids, IA 52402-1129
Phone (212) 734-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TPAN3125FLMDNurse Practitioner
A183208IAMDNurse Practitioner
AC007154MDMDNurse Practitioner
4704431478MIMDNurse Practitioner
5022699NCMDNurse Practitioner
355563NYMDNurse Practitioner
SP032420PAMDNurse Practitioner
1203385TXMDNurse Practitioner
0024193959VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Singerman PLLC Single Specialty CurrentSince Dec 22, 2025 Accepting new patients
Olivera Health Group Ia LLC Single Specialty CurrentSince Apr 25, 2025 Accepting new patients
Parkway Value Based Care of NJ PLLC Single Specialty CurrentSince Apr 25, 2025 Accepting new patients
Parkway Preventive Medical Care PLLC Single Specialty CurrentSince Apr 25, 2025 Accepting new patients
Merion Square Road Medical PC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Kevin H Weiner, MD, PC Single Specialty Past Accepting new patients

Locations

6421 N Florida Ave
Tampa, FL 33604
Phone (813) 305-2867

6420 Council St NE
Cedar Rapids, IA 52402
Phone (319) 393-1447

64 Central Ave W
Edgewater, MD 21037
Phone (240) 718-8255

1333 Wells St
Niles, MI 49120
Phone (269) 240-7780

50 Chestnut Ridge Rd
Ste 130
Montvale, NJ 07645
Phone (845) 213-3134

1181 Nixon Dr
Moorestown, NJ 08057
Phone (267) 235-0059

4303 14th Ave
Brooklyn, NY 11219
Phone (718) 436-7800

963 Post Ave
Staten Island, NY 10302
Phone (718) 442-4422

31 S Main St
Ste 435
Dayton, OH 45402

6059 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 208-2215

3333 Preston Rd
Ste 300
Frisco, TX 75034
Phone (410) 449-9142

2003 Plank Rd
Fredericksburg, VA 22401
Phone (434) 235-9526

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1184443087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GREGORY AVE APT B10",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553818",
            "telephone_number": "201-777-0518",
            "fax_number": "928-272-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GREGORY AVE APT B10",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553818",
            "telephone_number": "201-777-0518",
            "fax_number": "928-272-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "355563",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1203385",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC007154",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022699",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024193959",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP032420",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A183208",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "TPAN3125",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704431478",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15171100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.