Active NPI
Stacey Bialow
- Physical Therapist
- Morganville, NJ
National Provider Identifier
1215772108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00745700
- Practice address
- 68 Waterford Ave
Morganville, NJ 07751-4246 - Phone
- (917) 470-5281
- NPI assigned
- Jul 1, 2024
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00745700 | NJ | Primary |
Addresses
Primary practice location
68 Waterford Ave
Morganville, NJ 07751-4246
Mailing address
9566 Trevi CT Unit 4928
Naples, FL 34113-8440
Phone (201) 906-0387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00745700 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1215772108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9566 TREVI CT UNIT 4928",
"city": "NAPLES",
"state": "FL",
"postal_code": "341138440",
"telephone_number": "201-906-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 WATERFORD AVE",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077514246",
"telephone_number": "917-470-5281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALOW",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00745700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
- Adele Beck-Burg, DC
- Beneficial Medical Supply
- Berkowitz & Garfinkel, D.D.S., P.a.
- Mark J Berkowitz, D.D.S.
- Best Care Pediatrics, LLC
- Deanna Bilotti
- Biomechanic Medical Solutions Incorporated (BioMechanic Medical Solutions)
- Renee Blanco, LCSW
- Blue Net Hospital of Mexico LLC
- Boas Family Chiropractic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.