Individual provider Active NPI

Stacie A Carangelo, ANP

  • Adult Health Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1932258910
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00157600 Issued in NJ
Practice address
95 Madison Ave Ste 409
Morristown, NJ 07960-7336
Phone
(973) 267-9400
Fax
(973) 998-8805
NPI assigned
Jan 9, 2007
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303778-1 NY
Adult Health Nurse Practitioner 363LA2200X 26NJ00157600 NJ Primary

Addresses

Primary practice location

95 Madison Ave Ste 409
Morristown, NJ 07960-7336

Mailing address

95 Madison Ave Ste 409
Morristown, NJ 07960-7336
Phone (973) 267-9400

Other names 1

  • Stacie A Kozakewich Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180501000066 NJ Practitioner - Nurse Practitioner 2365410263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morristown Medical Group PCGroup PAC ID 3577508407, 3 clinicians

Practice addresses (Care Compare)

95 Madison Ave
Suite 409
Morristown, NJ 07960-7336
Phone (973) 267-7963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303778NYMDLicensed Practical Nurse
F303778-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Medical Group PC CurrentSince Jan 10, 2022 Accepting new patients
Murray Hill Medical Group PC Past Accepting new patients

Locations

95 Madison Ave
Ste 101
Morristown, NJ 07960
Phone (973) 267-1010

95 Madison Ave
Ste 409
Morristown, NJ 07960
Phone (973) 267-7963

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1932258910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE STE 409",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607336",
            "telephone_number": "973-267-9400",
            "fax_number": "973-998-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE STE 409",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607336",
            "telephone_number": "973-267-9400",
            "fax_number": "973-998-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARANGELO",
        "first_name": "STACIE",
        "middle_name": "A",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303778-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00157600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "KOZAKEWICH",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.