MEDICARE: MICHELLE STONE APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	26NJ00653600	NJ
2	363LA2200X	Adult Health Nurse Practitioner	F307677-1	NY
3	363LA2200X	Adult Health Nurse Practitioner	26NJ00653600	NJ

General Provider Information

NPI Number	:	1093257289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE STONE APN

Provider Business Mailing Address
First Line	:	PO BOX 416457
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6457
Country	:	US
Telephone Number	:	844-362-1735
Fax Number	:	973-290-7495

Provider Business Practice Location Address
First Line	:	1000 GALLOPING HILL RD STE 101
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7989
Country	:	US
Telephone Number	:	908-686-9660
Fax Number	:	908-686-5614

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2016
Last Update Date	:	04/13/2026

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