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Deactivated NPI 1447406756 Deactivated / Inactive NPI Male Practitioner

Richard Thomas Stack , RN

Registered Nurse • Far Rockaway, NY

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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, Richard Stack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2008
NPI Deactivation Date June 05, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Richard Stack, RN was a registered Registered Nurse practicing in Far Rockaway, NY. Throughout an active medical career spanning 9 years, Richard Stack provided care at the practice location at 316 BEACH 65TH ST until profile deactivation on 2017-06-05.

Practice Location & Contact Primary Location

Practice Address

316 Beach 65th St

Far Rockaway, NY 116921425

Telephone 7184743800
Associated Practice Facility / Clinic
🏢 Daytop Village, Inc Facility NPI 1154442879

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Far Rockaway, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
120 Specialists

Practicing in Far Rockaway, NY (26641 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

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License NY 487157

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

29 Associated Practitioners
Paula Boberg , RN

Registered Nurse

NPI 1073831491

Registered Nurse

Crystal Best , LPN

Licensed Practical Nurse

NPI 1083833503

Licensed Practical Nurse

Sandra Prendergast , RN

Registered Nurse

NPI 1093038788

Registered Nurse

Donna Clarke , LPN

Licensed Practical Nurse

NPI 1093931362

Licensed Practical Nurse

Patrice Boncroft , RN

Registered Nurse

NPI 1174662225

Registered Nurse

NPI 1215039359

Licensed Master Social Worker

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 05, 2017

Record deactivated on June 05, 2017

NPI Profile Active August 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 18, 2008

Registered at 316 BEACH 65TH ST, FAR ROCKAWAY, NY 116921425 (Tel: 7184743800)

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Updated Business Mailing Address August 18, 2008

Registered at 271 84TH ST, BROOKLYN, NY 112094315 (Tel: 9175890515)

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Provider Name / Credentials Updated August 18, 2008

Recorded as RICHARD STACK, R.N.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2008

Registered Nurse (License #487157 in NY)

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Initial NPI Registration & Enumeration August 18, 2008

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: 1447406756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2008
Last Update: August 18, 2008
Deactivation Date: June 05, 2017

Mailing Address

271 84th St

Brooklyn, NY 112094315

Phone: 9175890515

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.