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Dr. Stacey Barbossa, D.C.

Chiropractor, Sports Physician in Jersey City, NJ. Individual provider (NPI-1).

NPI number1033280367
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1033280367
Entity type
Individual (NPI-1)
Name
Dr. Stacey Barbossa
Credential
D.C.
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NS0005X Chiropractor, Sports Physician38MC00454600NJYes

Practice location

1637 John F Kennedy Blvd
Jersey City, NJ 07305-1865

Phone 201-435-0900 · Fax 201-435-0911

Mailing address

1637 John F Kennedy Blvd
Jersey City, NJ 07305-1865

Phone 201-435-0900 · Fax 201-435-0911

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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