Active NPI
Staci Anne Gulbin, R.D.
- Registered Dietitian
- New Milford, NJ
National Provider Identifier
1447697560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 784 Cherry St
New Milford, NJ 07646-1404 - Phone
- (443) 414-6505
- NPI assigned
- May 30, 2013
- Reactivated
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NJ | Primary |
Addresses
Primary practice location
784 Cherry St
New Milford, NJ 07646-1404
Mailing address
784 Cherry St
New Milford, NJ 07646-1404
Phone (443) 414-6505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1447697560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 CHERRY ST",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076461404",
"telephone_number": "443-414-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 CHERRY ST",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076461404",
"telephone_number": "443-414-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULBIN",
"first_name": "STACI",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"deactivation_date": "2022-09-14",
"reactivation_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.