Stephen Daroy
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Belleville, NJ
NPI 1740905652 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1740905652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ01368500 (NJ)
- Practice address
- 34B Jannarone St
Belleville, NJ 07109-2337 - Phone
- (973) 873-4337
- NPI assigned
- Oct 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adult Family Health Services LLC
Practice addresses (Care Compare)
53 Orchard St
Clifton, NJ 07013-1832
Phone (973) 773-7600
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 |
|---|---|---|---|---|
| I20230201000929 | NJ | Practitioner - Nurse Practitioner | 2062883929 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01368500 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Family Health Services LLC | Current |
Accepting new patients | |
| Adult Family Health Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01368500 | NJ | Yes |
Addresses
Primary practice location
34B Jannarone St
Belleville, NJ 07109-2337
Mailing address
34B Jannarone St
Belleville, NJ 07109-2337
Phone (973) 873-4337
Other providers in Belleville, NJ
- Zoe Curry
- John Daconti
- Elwine Daleus
- Donna Earnice Dalgetty
- Doris Julia Danko
- Andrea Carolina Davila
- Najamah Davis
- Patrick Davis
- Abby Alexandra De Angelis
- Ramalisa De Jesus
All providers in Belleville, NJ · Psychiatric/Mental Health 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 Oct 4, 2022. 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.