Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366644809 Deactivated / Inactive NPI Male Practitioner

Dr. Richard G Stefanacci , DO

General Practice • Passaic, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Stefanacci has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2007
NPI Deactivation Date June 07, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Stefanacci, DO was a registered General Practice practicing in Passaic, NJ. Throughout an active medical career spanning 15 years, Dr. Stefanacci provided care at the practice location at 338 CHESTNUT ST until profile deactivation on 2022-06-07.

Practice Location & Contact Primary Location

Practice Address

338 Chestnut St

Passaic, NJ 07055

Telephone 9734719494
Fax 9737784649
Associated Practice Facility / Clinic
🏢 Chestnut Hill Residence Facility NPI 1275674970

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Passaic, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Passaic, NJ (269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NJ MB016547

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Paul Demuro , DO

Family Medicine

NPI 1992883235

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 07, 2022

Record deactivated on June 07, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 338 CHESTNUT ST, PASSAIC, NJ 07055 (Tel: 9734719494)

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Updated Business Mailing Address July 08, 2007

Registered at 338 CHESTNUT ST, PASSAIC, NJ 07055 (Tel: 9734719494)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD STEFANACCI, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #MB016547 in NJ)

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Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366644809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: July 08, 2007
Deactivation Date: June 07, 2022

Mailing Address

338 Chestnut St

Passaic, NJ 07055

Phone: 9734719494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.