Julene Stassou, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

867918 Issued in NJ

Practice address

171 Franklin Tpke
Suite 110
Waldwick, NJ 07463-1849

Phone

(201) 612-5100

NPI assigned

Jan 5, 2011

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Live Well Pediatrics, PC

  • Pediatrics Physician
  • Waldwick, NJ
  • NPI 1245652338
  NPD (past)
• Stacey Markowitz Hecht, MD, PA

  • Pediatrics Physician
  • Waldwick, NJ
  • NPI 1821166299
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1598069593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 EDWIN AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242934",
            "telephone_number": "201-947-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FRANKLIN TPKE",
            "address_2": "SUITE 110",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631849",
            "telephone_number": "201-612-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASSOU",
        "first_name": "JULENE",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "867918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinok Song
• Philip A. Sorabella, M.D.
• Speech Therapy Partners LLC
• Sports Medicine Center of Bergen, PA
• Stacey Markowitz Hecht, MD, PA
• Marissa Stellacci, PHARMD
• Stephen a. Jones, L.L.C.
• David Martin Strassberg
• Diane Stark Suda, MSW
• Suess Family Chiropractic LLC

• Registered Dietitian in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.