MS. STACEY HEROUX RDN
NPI 1639880594
Dietitian, Registered in Rockaway, NJ

Q: What is Stacey Heroux's NPI number?

The NPI number for Stacey Heroux is 1639880594. It was assigned to this individual provider in the NPPES registry on December 12, 2022. The provider is also known as Stacey Pennimpede.

Q: What is Stacey Heroux's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Heroux was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2022Accepts Medicare Assignment

25 PINE ST STE 4, ROCKAWAY, NJ 07866(862) 309-9859(908) 509-6734 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 31, 2026, Dec 12, 2022 (2 updates tracked since 2022).

On this page

About Ms. Stacey Heroux Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACEY HEROUX RDN (NPI 1639880594) is an individual dietitian, registered in Rockaway, New Jersey, licensed in New Jersey (86051288) and active in the NPI registry since December 2022. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1639880594

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. STACEY HEROUXCredential: RDN

Location Address25 PINE ST STE 4Rockaway, NJ 07866-3143

Mailing Address253 Riverview DrBridgewater, NJ 08807-1544 · (908) 285-8114

Phone(862) 309-9859

Fax(908) 509-6734

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 12, 2022

Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1639880594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NJ · 86051288

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

25 PINE ST STE 4, Rockaway, NJ 07866

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Other Names 1

Former Name (1)Stacey Pennimpede

Other Identifiers 1

Other86051288NJ · Commission On Dietetic Registration

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Stacey Heroux Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284160201

PECOS Enrollment IDI20241213000068

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07866 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.84 – $190.92

Typical copayment $0.00 (range $15.96 – $47.73)

Most-billed visit code NA

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELYN LEONE RD

Dietitian, Registered