Individual provider Active NPI

Yulianna Stus, FNP

  • Family Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1710611751
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01331700 Issued in NJ
Practice address
33 Broadway
Denville, NJ 07834-2705
Phone
(973) 879-2782
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ01331700 NJ Primary

Addresses

Primary practice location

33 Broadway
Denville, NJ 07834-2705

Mailing address

3 Windsor CT
Hackettstown, NJ 07840-5529
Phone (973) 879-2782

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
I20220920000069 NJ Practitioner - Nurse Practitioner 4385029834 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gmed Healthcare PC Single Specialty CurrentSince Jul 26, 2022 Accepting new patients

Locations

246 Clifton Ave
Ste 4
Clifton, NJ 07011
Phone (973) 330-6765

124 Gregory Ave
Ste 102
Passaic, NJ 07055
Phone (973) 777-1132

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1710611751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINDSOR CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405529",
            "telephone_number": "973-879-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BROADWAY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342705",
            "telephone_number": "973-879-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUS",
        "first_name": "YULIANNA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01331700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.