Individual provider Active NPI

Stacey Darlene Goode, R.N.

  • Registered Nurse
  • Roseland, NJ
National Provider Identifier
1528498342
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR14828000 Issued in NJ
Practice address
101 Eisenhower Pkwy
Suite 300
Roseland, NJ 07068-1032
Phone
(973) 795-1200
Fax
(973) 795-1201
NPI assigned
Nov 14, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR14828000 NJ Primary

Addresses

Primary practice location

101 Eisenhower Pkwy
Suite 300
Roseland, NJ 07068-1032

Mailing address

101 Eisenhower Pkwy
Suite 300
Roseland, NJ 07068-1032
Phone (973) 795-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR14828000NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1528498342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY",
            "address_2": "SUITE 300",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681032",
            "telephone_number": "973-795-1200",
            "fax_number": "973-795-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY",
            "address_2": "SUITE 300",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681032",
            "telephone_number": "973-795-1200",
            "fax_number": "973-795-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "STACEY",
        "middle_name": "DARLENE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14828000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.