Stacey Melissa Blackman, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00286100 Issued in NJ

Practice address

9 Wayne Ave
East Orange, NJ 07018

Phone

(201) 341-8190

NPI assigned

May 14, 2010

Last updated

Jul 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University HospitalGroup PAC ID 5294636874, 77 clinicians

Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The University Hospital Hospital, Newark, NJ, CCN 310119
• Lopatcong Center Nursing home, Phillipsburg, NJ, CCN 315202
• North Cape Center Nursing home, North Cape May, NJ, CCN 315350

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

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.

• University Hospital

  • Acute Care Nurse Practitioner
  • Newark, NJ
  • NPI 1023266962
  Medicare reassignment Care Compare group NPD
• Lumina Care Medical NJ LLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1851118319

  NJ

  Medicare reassignment Care Compare group NPD
• DRX Paramus, LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1316272685
  Medicare reassignment NPD
• Dr Medical Services PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1053012401

  NJ

  Medicare reassignment NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  NJ

  Medicare reassignment NPD
• Jersey Irish Medical

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739
  NPD
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD
• University Hospital

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1306596390
  NPD
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 390 Red School Lane Operations LLC

  dba Lopatcong Center

  • Skilled Nursing Facility
  • Phillipsburg, NJ
  • NPI 1265616551

  Nursing home

  Care Compare affiliation
• 700 Town Bank Road Operations LLC

  dba North Cape Center

  • Skilled Nursing Facility
  • North Cape May, NJ
  • NPI 1588848881

  Nursing home

  Care Compare affiliation
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  Care Compare affiliation

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1366760373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAYNE AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181907",
            "telephone_number": "201-341-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WAYNE AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "201-341-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "STACEY",
        "middle_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00286100",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00286100",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "26NJ00286100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Frempomaa Biney
• Cylicia Renea Binns, LCSW
• Birchwood Adult Day Center
• Vincent James Bisogno Jr., LSW
• Irona Blackellar
• Blessed Assurance Home Health Aid
• Mariane Blouin-Gascon
• Chesney Blue, RD
• Blueprint Medical Transport
• Daniel Jack Blumenfeld, M.D.

• Primary Care Nurse Practitioner in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.