Stacey Heroux, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86051288 Issued in NJ

Practice address

25 Pine St Ste 4
Rockaway, NJ 07866-3143

Phone

(862) 309-9859

Fax

(908) 509-6734

NPI assigned

Dec 12, 2022

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stacey Pennimpede Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Whole Nutrition Center LLCGroup PAC ID 8628484623, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whole Nutrition Center, LLC

  • Registered Dietitian
  • Rockaway, NJ
  • NPI 1871184028

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• SHS Nutrition, LLC

  • Registered Dietitian
  • Piscataway, NJ
  • NPI 1164735882

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1639880594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 RIVERVIEW DR",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071544",
            "telephone_number": "908-285-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PINE ST STE 4",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663143",
            "telephone_number": "862-309-9859",
            "fax_number": "908-509-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROUX",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86051288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86051288",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PENNIMPEDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nayima Hasan
• Heart Solution PC
• Christopher J. Heitzman, D.O.
• Adam Jay Helfand, DMD
• Emil Kenneth Heringer, O.D.
• Emma D Hesse, RDN
• Donna Ann-Marie Hewitt
• Johnathan Hilbert, MD
• Mark Hilla, ATC
• Alison Sarah Hipscher, LCSW

• Registered Dietitian in Rockaway, NJ
• Providers in Rockaway, 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 Jul 31, 2026; 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.