Individual provider Active NPI

Denisa Stojakova, APN

  • Gerontology Nurse Practitioner
  • Fair Lawn, NJ
National Provider Identifier
1689210346
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00970300 Issued in NJ
Practice address
6-20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone
(201) 797-2003
Fax
(201) 797-7003
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 26NJ00970300 NJ Primary

Addresses

Primary practice location

6-20 Plaza Rd
Fair Lawn, NJ 07410-3113

Mailing address

24 Hemlock St
Clifton, NJ 07013-3504
Phone (201) 704-6551

Other practice location 1

37 Crooks Ave Ste 43
Paterson, NJ 07503
Phone (973) 685-9922

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
I20200117000785 NJ Practitioner - Nurse Practitioner 4789019845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Medical ProfessionalsGroup PAC ID 1658665138, 5 clinicians
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

6 -20 Plaza Rd
Fair Lawn, NJ 07410-3113
Phone (201) 797-2003

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00970300NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Apex Medical Professionals Internal Medicine CurrentSince Nov 9, 2024 Accepting new patients
St Josephs Medical Group PC Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph'S Healthcare, Inc. Internal Medicine CurrentSince Apr 20, 2020 Accepting new patients

Locations

1195 Clifton Ave
Clifton, NJ 07013
Phone (201) 265-5700

6-20 Plaza Rd
Fair Lawn, NJ 07410
Phone (201) 509-8900

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

661 Main St
Ste 202
Paterson, NJ 07503
Phone (973) 321-9845

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: dstojakova280399@direct.englewoodhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1689210346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HEMLOCK ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133504",
            "telephone_number": "201-704-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6-20 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103113",
            "telephone_number": "201-797-2003",
            "fax_number": "201-797-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Crooks Ave Ste 43",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "07503",
            "country_code": "US",
            "telephone_number": "973-685-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOJAKOVA",
        "first_name": "DENISA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00970300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.