Active NPIIndividual provider

Ms. Stacey Heroux, RDN

Dietitian, Registered in Rockaway, New Jersey

NPI Number1639880594
Practice location
25 Pine St Ste 4, Rockaway, NJ 07866-3143
Fax
908-509-6734
Last updated
July 31, 2026

Stacey Heroux is a Dietitian, Registered based in Rockaway, NJ. Stacey Heroux practices in Rockaway, NJ and has the professional credentials of RDN. The NPI Number for Stacey Heroux is 1639880594 and holds a License No. 86051288 (NJ). The current practice location address for Stacey Heroux is 25 Pine St Ste 4, Rockaway, NJ 07866-3143 and can be reached out via phone at 862-309-9859 and via fax at 908-509-6734.

Provider Profile Details

NPI Number
1639880594
Provider Name
Stacey Heroux
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
25 Pine St Ste 4, Rockaway, NJ 07866-3143
Phone Number
862-309-9859
Fax Number
908-509-6734
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
Stacey Pennimpede (Former Name)
Provider Enumeration Date
December 12, 2022
Last Update Date
July 31, 2026
Certification Date
July 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Pine St Ste 4
Rockaway, NJ 07866-3143
Zip
07866-3143
Phone Number
862-309-9859
Fax Number
908-509-6734
Rockaway, NJ 07866Get directions →

Provider Business Mailing Address Details

Address
253 Riverview Dr
Bridgewater, NJ 08807-1544
City
Bridgewater
State
NJ
Zip
08807-1544
Phone Number
908-285-8114

License Information

License Number
86051288
License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Stacey Heroux, RDN?

The NPI number of Ms. Stacey Heroux, RDN is 1639880594. It was assigned on December 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Ms. Stacey Heroux, RDN?

Ms. Stacey Heroux, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86051288.

Where does Ms. Stacey Heroux, RDN practice?

The practice location is 25 Pine St Ste 4, Rockaway, NJ 07866-3143. The office can be reached at 862-309-9859 (phone) or 908-509-6734 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639880594 directly on the NPPES registry website.

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