Stacey Tavel
Pediatrics in Berkeley Heights, NJ. Individual provider (NPI-1).
NPI number1477514933
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1477514933
- Entity type
- Individual (NPI-1)
- Name
- Stacey Tavel
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2006
- Certification date
- Feb 4, 2025
- Last updated
- Feb 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 25MA08688600 | NJ | Yes |
| 208000000X | Pediatrics | 227003 | NY |
Practice location
1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone 908-277-8601 · Fax 908-277-8706
Mailing address
1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone 908-273-4300
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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