IndividualActive
Stacy Bagaloo
NPI 1114869138 · Emergency Registered Nurse · Fort Lee, NJ
Provider details
- NPI number
- 1114869138
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 870124-01 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
1 Executive Dr Apt 105
Fort Lee, NJ 07024-3338
Phone: (844) 692-4692
Approximate (ZIP-level) locationGet directions
Mailing address
1 Executive Dr Apt 105
Fort Lee, NJ 07024-3338
Additional practice locations (1)
- 506 Lenox AveNew York, NY 10037-1802Phone: (844) 692-4692
Registry dates
- Enumerated
- 2026-04-08
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.