Stacey Ann Crocco

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

582045 Issued in NY

Practice address

175 Roosevelt Rd
Hyde Park, NY 12538-2327

Phone

(508) 269-0530

NPI assigned

Jan 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1487315875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROOSEVELT RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382327",
            "telephone_number": "508-269-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROOSEVELT RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382327",
            "telephone_number": "508-269-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCCO",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "582045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sac0973@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Alternate email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "175 Roosevelt Rd",
            "city": "Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125382327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shauna Coke, NP
• Timothy P Collins, D.O.
• Nancy Jane Constantino, PT
• Susan Margaret Covel, M.ED.
• John Anthony Coyle, DPT
• Olivia Rose Cruci, RN
• Norma D Cruz, RN, BSN
• CVS Albany LLC
• Baldev G Das, MD
• Alfred Dauge, DMD

• Registered Nurse in Hyde Park, NY
• Providers in Hyde Park, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.