Stacy Van Weddinger, is a
Licensed Practical Nurse based in Vernon, New Jersey. Stacy Van Weddinger is licensed to practice in New York (license number 341817) and current practice location is
4 Village Way Unit L5, Vernon, New Jersey. can be reached at office (for appointments etc.) via phone at
(973) 768-7182.
NPI number for Stacy Van Weddinger is 1790673358 and current mailing address is 4 Village Way Unit L5, Vernon, New Jersey.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1790673358.
Provider's Profile
Full Name | Stacy Van Weddinger |
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Gender | |
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Speciality | Licensed Practical Nurse |
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Location | 4 Village Way Unit L5, Vernon, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790673358
- Provider Enumeration Date: 06/24/2025
- Last Update Date: 06/24/2025
Medical Identifiers
Medical identifiers for Stacy Van Weddinger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790673358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 26NP08154300 (New Jersey) | Secondary |
164W00000X | Licensed Practical Nurse | 341817 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Van Weddinger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy Van Weddinger, 4 Village Way Unit L5, Vernon, NJ 07462-3112 Ph: () - | Stacy Van Weddinger, 4 Village Way Unit L5, Vernon, NJ 07462-3112 Ph: (973) 768-7182 |
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