Jennie Stasio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00728400 Issued in NJ

Practice address

251 S Lincoln Ave
Vineland, NJ 08361-7802

Phone

(856) 691-8188

Fax

(856) 691-0421

NPI assigned

May 8, 2024

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstasio@arcnj.intellechartdirect.net

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.

• Associated Retinal Consultants LLC

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1164578894

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Englishtown, NJ
  • NPI 1295477404

  Optometrist

  NPD

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1295583912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333",
            "fax_number": "908-967-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 S LINCOLN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617802",
            "telephone_number": "856-691-8188",
            "fax_number": "856-691-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIO",
        "first_name": "JENNIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00728400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Adam Springer, DO
• Santhana Sriradchatha, D.O.
• Olga Stanmire, LPN
• Carlos Starling-Santiago
• Arthur Joseph Starr, O.D.
• State of New Jersey Omb Centralized Payroll
• Stavisky Orthodontics PC
• Tanya Stavisky, DMD
• Rachelann Stavoli, APN,C
• Kenneth M Steier, FNP-C

• Optometrist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.