Search › New Jersey › 164W00000X
Stacy Van Weddinger
NPI 1790673358 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4 Village Way Unit L5
Vernon, NJ 07462 - Phone
- (973) 768-7182
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey