Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anastasia L Stack

Individual provider Family Nurse Practitioner · NPI 1245175959

Anastasia L Stack is a Nurse Practitioner in Ledgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

1103 Route 46
Ledgewood, NJ 07852-9738
Phone: (973) 927-4662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15561300 (NJ)

Record details

NPI number1245175959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1103 Route 46, Ledgewood, NJ 07852-9738

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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