Active NPI
Mary E Stuckey, MD
- Emergency Medicine Physician
- Summit, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA12166600
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (908) 522-2232
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA12166600 | NJ | Primary |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
1 Robert Wood Johnson Place
Medical Education Building Room 388a
New Brunswick, NJ 08901
Phone (201) 951-8607
Other practice location 1
97 W Parkway
Pompton Plains, NJ 07444-1647
Phone (973) 831-5000
Other practice location 2
1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (201) 951-8607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017471 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12166600 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| NJ Acute Care Specialists Professional Corporation | Current | Accepting new patients |
Locations
97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Hospitalist Physician
- East Orange, NJ
- NPI 1073805917
-
- Emergency Medicine Physician
- Paramus, NJ
- NPI 1770532665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1649858986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PLACE",
"address_2": "MEDICAL EDUCATION BUILDING ROOM 388A",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08901",
"telephone_number": "201-951-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533",
"telephone_number": "908-522-2232"
}
],
"practiceLocations": [
{
"address_1": "97 W Parkway",
"address_purpose": "LOCATION",
"city": "Pompton Plains",
"state": "NJ",
"postal_code": "074441647",
"country_code": "US",
"telephone_number": "973-831-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Robert Wood Johnson Pl",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011928",
"country_code": "US",
"telephone_number": "201-951-8607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUCKEY",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA12166600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017471",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.