Stacy Trister LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0078900 Issued in NJ

Legal business name

STACY TRISTER LLC

Practice address

2125 Center Ave Ste 111
Fort Lee, NJ 07024-5820

Phone

(201) 242-0305

Fax

(201) 242-0345

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Stacy Trister

Title

Managing Director

Phone

(201) 242-0305

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels of Fort Lee Doing business as

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1720255193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CENTER AVENUE",
            "address_2": "SUITE 111",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-242-0305",
            "fax_number": "201-242-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CENTER AVE STE 111",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245820",
            "telephone_number": "201-242-0305",
            "fax_number": "201-242-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY TRISTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "TRISTER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "201-242-0305"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0078900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Fort Lee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.