Healthcare Provider Details

I. General information

NPI: 1376417907
Provider Name (Legal Business Name): STEPHANIE BELCASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 WILLOW GROVE ST STE 401
HACKETTSTOWN NJ
07840-1868
US

IV. Provider business mailing address

9 BERNARD RD
LANDING NJ
07850-1703
US

V. Phone/Fax

Practice location:
  • Phone: 908-850-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15389600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: