Individual provider Active NPI

Karen Stefanski-Pascale, CN

  • Nutritionist
  • Monmouth Beach, NJ
National Provider Identifier
1285029272
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
0001847 Issued in OR
Practice address
1 Channel Dr
Unit 312
Monmouth Beach, NJ 07750-1365
Phone
(732) 673-7114
NPI assigned
Apr 6, 2015
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 0001847 OR Primary

Addresses

Primary practice location

1 Channel Dr
Unit 312
Monmouth Beach, NJ 07750-1365

Mailing address

1 Channel Dr
Unit 312
Monmouth Beach, NJ 07750-1365
Phone (732) 673-7114

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

LicenseStateTypeSpecialty
0001847ORMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1285029272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHANNEL DR",
            "address_2": "UNIT 312",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077501365",
            "telephone_number": "732-673-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHANNEL DR",
            "address_2": "UNIT 312",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077501365",
            "telephone_number": "732-673-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANSKI-PASCALE",
        "first_name": "KAREN",
        "credential": "CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "OR",
            "license": "0001847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Beach, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.