Provider Demographics
NPI:1134920903
Name:ROKOSNY, STACIE (RN)
Entity type:Individual
Prefix:
First Name:STACIE
Middle Name:
Last Name:ROKOSNY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 POTTERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2432
Mailing Address - Country:US
Mailing Address - Phone:908-914-8800
Mailing Address - Fax:
Practice Address - Street 1:230 POTTERSVILLE RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2432
Practice Address - Country:US
Practice Address - Phone:908-914-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12441900163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator