Stephanie Ricciardi, AGNP-C
Individual provider Active NPI Nurse Practitioner · Haskell, NJ
NPI 1710783261 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1710783261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ15284800 (NJ)
- Practice address
- 25 5TH Ave
Haskell, NJ 07420-1075 - Phone
- (973) 839-6000
- NPI assigned
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- David Yakobashvili,MD,LLC
Practice addresses (Care Compare)
1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Phone (973) 975-3750
201 Pleasant Hill Rd
Chester, NJ 07930-2141
Phone (973) 975-3750
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
- Morristown Medical Center
- Hackensack University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414001066 | NJ | Practitioner - Nurse Practitioner | 4981128709 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Yakobashvili,MD,LLC | Current |
Accepting new patients |
Locations
201 Pleasant Hill Rd
Chester, NJ 07930
Phone (973) 252-6300
3 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 360-9996
1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ15284800 | NJ | Yes |
Addresses
Primary practice location
25 5TH Ave
Haskell, NJ 07420-1075
Mailing address
25 5TH Ave
Haskell, NJ 07420-1075
Phone (973) 839-6000
Other providers in Haskell, NJ
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- R & D Health Management, Inc
- Jennifer Leigh Rana
- Derk Miles Replogle
- Brielle Runfeldt
- Cheryl Schmidt
- Marina A Sedrak
- Ritu Sharma
- Jeffrey Todd Smith
All providers in Haskell, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.