STACIE MCDONOUGH (NPI# 1255826723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255826723 |
| Entity Type | Individual |
| Full Name | STACIE MCDONOUGH |
| Other Name | STACIE BORAN |
| Credential | CRNP |
| Practice Address |
100 Madison Ave. Morristown NJ 07960 |
| Mailing Address |
140 East Hanover Ave. Cedar Knolls NJ 07927 |
| Practice Telephone | 9739715488 |
| Practice Fax Number | 9732907175 |
| Mailing Telephone | 9736058056 |
| Mailing Fax Number | 9736058045 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
26NJ00117000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MADISON AVE. |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145986 | Kevin J Mcsherry | Pediatrics | 100 Madison Ave., Morristown Memorial Hospital - Dept of Emerg Medicine, Morristown, NJ 07960 | 2005-06-28 |
| 1093200370 | Alfredo Mennonna | Physician Assistant | 100 Madison Ave., Morristown, NJ 07960 | 2018-06-28 |
| 1578058855 | Pauline Papapietro | Physician Assistant | 100 Madison Ave., Morristown, NJ 07960 | 2018-06-28 |
| 1194013516 | Alfredo Jorge Tapia Jr. | Emergency Medicine | 100 Madison Ave., Morristown Memorial Hospital, Morristown, NJ 07960 | 2011-07-19 |
| 1962651448 | Christopher Lynch | Psychologist | 100 Madison Ave., Morristown Memorial Hosptial Child Development Center, Morristown, NJ 07962-1956 | 2008-09-09 |
| 1851508436 | Nana Eleonore Tchabo | Obstetrics & Gynecology | 100 Madison Ave., Box 109, Morristown, NJ 07962-1956 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 364SN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191849 | Mitch Mallon | Clinical Nurse Specialist | 100 Madison Ave, Morristown, NJ 07960-6136 | 2019-12-17 |
| 1588201222 | Kimberly Gogel | Clinical Nurse Specialist | Morristown Medical Center, 100 Madison Avenue, Morristown, NJ 07960 | 2019-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528243797 | Suzanne Allikas | Clinical Nurse Specialist | 1 Bay Ave, Montclair, NJ 07042-4837 | 2008-01-07 |
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on STACIE MCDONOUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.