Stacey A Muscolino, P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F381140-1 Issued in NY

Practice address

151 Intrepid LN
Syracuse, NY 13205-2552

Phone

(315) 469-8191

Fax

(315) 469-4482

NPI assigned

Dec 13, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Brighton Hill Pediatrics, R.L.L.P.

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1205983798
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407917206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 KILLOE RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279094",
            "telephone_number": "315-635-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052552",
            "telephone_number": "315-469-8191",
            "fax_number": "315-469-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCOLINO",
        "first_name": "STACEY",
        "middle_name": "A",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381140-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Elizabeth Musa, M.S.
• Richard Musacchio
• Michael Musante
• Tracey Musarra Marchese, MSW, LCSW-R
• Olivia Ann Muscolino
• Tara Marie Muscolino, RN
• Musculoskeletal Medicine P C
• Robin E Musenga, LPN
• Lesley Musgrove
• Raja Muhammad Hamza Mushtaq, MD

• Pediatric Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.