Individual provider Active NPI

Stephanie Marie Ronco

  • Nurse Practitioner
  • Madison, NJ
National Provider Identifier
1639840002
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01206300 Issued in NJ
Practice address
345 Main St
Madison, NJ 07940-2339
Phone
(973) 377-6700
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01206300 NJ Primary

Addresses

Primary practice location

345 Main St
Madison, NJ 07940-2339

Mailing address

345 Main St
Madison, NJ 07940-2339
Phone (973) 377-6700

Other practice location 1

242 Main St
Madison, NJ 07940-2210
Phone (973) 845-8845

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

State licenses

LicenseStateTypeSpecialty
26NJ01206300NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical and Sports Rehabilitation L.L.C CurrentSince Sep 28, 2021 Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C PastSince Sep 28, 2021 Accepting new patients

Locations

345 Main St
Madison, NJ 07940
Phone (973) 377-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1639840002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402339",
            "telephone_number": "973-377-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402339",
            "telephone_number": "973-377-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NJ",
            "postal_code": "079402210",
            "country_code": "US",
            "telephone_number": "973-845-8845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONCO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01206300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.