Individual provider Active NPI

Staci Priano

  • Nurse Practitioner
  • Pennington, NJ
National Provider Identifier
1730617374
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ000000000 Issued in NJ
Practice address
2 Capital Way Ste 456
Pennington, NJ 08534-2521
Phone
(609) 537-7300
Fax
(609) 537-7301
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ000000000 NJ Primary

Addresses

Primary practice location

2 Capital Way Ste 456
Pennington, NJ 08534-2521

Mailing address

144 Cheese Factory Rd
Doylestown, PA 18901-5009
Phone (267) 897-7216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170914000224 NJ Practitioner - Nurse Practitioner 6800169897 Reassigns benefits to 3 organizations
I20200922000315 PA Practitioner - Nurse Practitioner 6800169897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

1104 Welsh Rd
Philadelphia, PA 19115-3730
Phone (215) 676-9191

1919 Greentree Rd
Suite a
Cherry Hill, NJ 08003-1115
Phone (856) 761-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ000000000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 21, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince May 11, 2024 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Mar 1, 2026 Accepting new patients
Greentree Medical Center Nurse Practitioner CurrentSince Dec 20, 2023 Accepting new patients

Locations

1919 Greentree Rd
Ste A
Cherry Hill, NJ 08003
Phone (856) 761-8100

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

2050 Old West Chester Pike
Havertown, PA 19083
Phone (610) 449-8600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1730617374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CHEESE FACTORY RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015009",
            "telephone_number": "12678977216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 456",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIANO",
        "first_name": "STACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.