Individual provider Active NPI

Stacy Erica Chapnick, PA-C

  • Medical Physician Assistant
  • East Windsor, NJ
National Provider Identifier
1790078368
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00282300 Issued in NJ
Practice address
300A Princeton Hightstown Rd Ste 202
East Windsor, NJ 08520-1421
Phone
(609) 371-9000
NPI assigned
May 16, 2011
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00282300 NJ Primary

Addresses

Primary practice location

300A Princeton Hightstown Rd Ste 202
East Windsor, NJ 08520-1421

Mailing address

9 Calgary Cir
Morganville, NJ 07751-1603
Phone (175) 976-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000126 NJ Practitioner - Physician Assistant 2567640725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012245NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Institute of North America LLC CurrentSince Jul 1, 2022 Accepting new patients
Tracy Tomaino, DC, LLC Past Accepting new patients

Locations

300A Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (609) 337-6496

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1790078368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CALGARY CIR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511603",
            "telephone_number": "175-976-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A PRINCETON HIGHTSTOWN RD STE 202",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201421",
            "telephone_number": "609-371-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPNICK",
        "first_name": "STACY",
        "middle_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00282300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.