Nina Stuccio

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS005442L Issued in PA

Practice address

410 S Front St Unit 215
Philadelphia, PA 19147-1708

Phone

(805) 509-9265

NPI assigned

Jan 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Haddon Emergency Physicians LLC

  • Emergency Medicine Physician
  • Camden, NJ
  • NPI 1558312785
  NPD (past)

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1710344171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S FRONT ST UNIT 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471708",
            "telephone_number": "805-509-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S FRONT ST UNIT 215",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471708",
            "telephone_number": "805-509-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCCIO",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS005442L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Stuart, M.D.
• Tami Stuart, M.D.
• Alyssa Stubbs, MD
• Tinika Rhonda Stubbs, HEALTH EDUCATOR
• Lucille C Stubljar, BA
• Sarah Marie Stuccio, MD
• Mary Kathleen Stucke
• James S. Studdiford III, M.D.
• Student Health Service, University of Pennsylvania
• Jeffrey Thomas Student, MD

• Nephrology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.