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

Stacey Ladusch, NP

Individual provider Registered Nurse · NPI 1114767340

Stacey Ladusch, NP is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2023, 3 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1991 Marcus Ave Ste 102
New Hyde Park, NY 11042-2062
Phone: (516) 497-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 352858 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 827629 (NY)

Record details

NPI number1114767340
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 27, 2024
Last updated in NPPESMay 27, 2024
Certification dateNovember 8, 2023
Mailing address1 Bell Slip Apt 29g, Brooklyn, NY 11222-7640

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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