Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629173638 Deactivated / Inactive NPI Male Practitioner

Dr. Robert H Stackpole , MD

Urology • Roselle, NJ

⚠️

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. Robert Stackpole has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2006
NPI Deactivation Date March 02, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Stackpole, MD was a registered Urology practicing in Roselle, NJ. Throughout an active medical career spanning 12 years, Dr. Stackpole provided care at the practice location at 776 E 3RD AVE until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

776 E 3rd Ave

Roselle, NJ 072031698

Telephone 9082417800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Roselle, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Roselle, NJ (474 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA01633800

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1134224157

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active March 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2010

Registered at 776 E 3RD AVE, ROSELLE, NJ 072031698 (Tel: 9082417800)

📍
Updated Business Mailing Address March 15, 2010

Registered at 776 E 3RD AVE, ROSELLE, NJ 072031698 (Tel: 9082417800)

👤
Provider Name / Credentials Updated March 15, 2010

Recorded as ROBERT STACKPOLE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2010

Urology (License #25MA01633800 in NJ)

🟢
Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Stackpole. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Stackpole

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629173638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: March 15, 2010
Deactivation Date: March 02, 2018

Mailing Address

776 E 3rd Ave

Roselle, NJ 072031698

Phone: 9082417800

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.