Individual provider · Type 1 NPI

Stacy Bagaloo

Emergency Registered Nurse · Fort Lee, NJ

NPI number 1114869138 Active

Practice location

1 Executive Dr Apt 105
Fort Lee, NJ 07024-3338

Call (844) 692-4692 Map

Other practice locations

506 Lenox Ave, New York, NY 10037-1802 · (844) 692-4692

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse Primary	163WE0003X	870124-01 (NY)

Emergency Registered Nurse: Definition to come...

About NPI 1114869138

Stacy Bagaloo's National Provider Identifier is 1114869138, issued on Apr 8, 2026. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Fort Lee, NJ. The record was last updated on Apr 8, 2026.