Individual provider Active NPI

Margaret Stachowski, ANP

  • Gerontology Nurse Practitioner
  • Blackwood, NJ
National Provider Identifier
1659949568
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01111800 Issued in NJ
Practice address
1134 S Black Horse Pike # 322
Blackwood, NJ 08012-2703
Phone
(856) 345-0444
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01111800 NJ Primary

Addresses

Primary practice location

1134 S Black Horse Pike # 322
Blackwood, NJ 08012-2703

Mailing address

1134 S Black Horse Pike # 322
Blackwood, NJ 08012-2703
Phone (856) 952-2850

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720002124 NJ Practitioner - Nurse Practitioner 5698178291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical House Call AssociatesGroup PAC ID 3476711508, 6 clinicians

Practice addresses (Care Compare)

244 Aman Ave
Clementon, NJ 08021-2502
Phone (856) 345-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01111800NJMDGerontology Nurse Practitioner

Organizations & group practices 1

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1659949568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 S BLACK HORSE PIKE # 322",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122703",
            "telephone_number": "856-952-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S BLACK HORSE PIKE # 322",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122703",
            "telephone_number": "856-345-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHOWSKI",
        "first_name": "MARGARET",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01111800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

Verify at the official NPI Registry.