Stacy Ann Richey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00343700 Issued in NJ

Practice address

4248 Harbor Beach Blvd
Brigantine, NJ 08203-1361

Phone

(609) 266-0400

Fax

(866) 912-0605

NPI assigned

Nov 5, 2014

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

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical One Acec IncGroup PAC ID 2264494954, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Medical One Acec Inc.

  • Internal Medicine Physician
  • Brigantine, NJ
  • NPI 1356492169
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1255737136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 KIETRO DR",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211522",
            "telephone_number": "609-412-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 HARBOR BEACH BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031361",
            "telephone_number": "609-266-0400",
            "fax_number": "866-912-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5034 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Mays Landing",
            "state": "NJ",
            "postal_code": "083302022",
            "country_code": "US",
            "telephone_number": "609-837-4600",
            "fax_number": "609-829-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHEY",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00343700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavana H Patel, M.PHARM., PHARM. D.
• Peacock Home Care LLC
• Stephany Victoria Piermattei, MSW,LCSW
• Christina Puglisi
• Ronald Pustizzi, PHARMD
• Maria Saccoccia
• Mohamed A Saloum, RPH
• June A Sisson, DDS
• Kelly Sykes, PA-C
• Emerson Richards Tracy, OPTOMETRIC PHYSICIAN

• Physician Assistant in Brigantine, NJ
• Providers in Brigantine, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.