Active NPI
Deanna Marie Sanacore, APN
- Adult Health Nurse Practitioner
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ01107400
- Practice address
- 342 Hamburg Tpke Ste 107
Wayne, NJ 07470-2166 - Phone
- (973) 870-0777
- Fax
- (888) 465-2135
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01107400 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ01107400 | NJ | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ01107400 | NJ |
Addresses
Primary practice location
342 Hamburg Tpke Ste 107
Wayne, NJ 07470-2166
Mailing address
38 Tuxedo Dr
Wayne, NJ 07470-2728
Phone (862) 591-0454
Other practice location 1
340 Ramapo Valley Rd
Oakland, NJ 07436-2711
Phone (862) 505-1448
Other practice location 2
224 Hamburg Tpke
Wayne, NJ 07470-2168
Phone (973) 956-3333
Other practice location 3
38 Tuxedo Dr
Wayne, NJ 07470-2728
Phone (862) 591-0454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.04 of 100
- Quality
- 87.11
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passaic River Physicians, LLC | Current | Accepting new patients | |
| Axara Health | Current | Accepting new patients | |
| Passaic River Observation, LLC | Current | Accepting new patients | |
| Southern Bank Emergency Physicians LLC | Current | Accepting new patients | |
| Passaic River Physicians, LLC | Current | Accepting new patients |
Locations
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Paterson, NJ
- NPI 1568113348
-
- Emergency Medicine Physician
- Paterson, NJ
- NPI 1962162644
-
- Emergency Medicine Physician
- New Brunswick, NJ
- NPI 1629205844
-
- Nurse Practitioner
- Wayne, NJ
- NPI 1073479010
-
- Emergency Medicine Physician
- Wayne, NJ
- NPI 1124788807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1003407776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 TUXEDO DR",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702728",
"telephone_number": "862-591-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 HAMBURG TPKE STE 107",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702166",
"telephone_number": "973-870-0777",
"fax_number": "888-465-2135"
}
],
"practiceLocations": [
{
"address_1": "340 Ramapo Valley Rd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "NJ",
"postal_code": "074362711",
"country_code": "US",
"telephone_number": "862-505-1448",
"fax_number": "862-300-3960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224 Hamburg Tpke",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "NJ",
"postal_code": "074702168",
"country_code": "US",
"telephone_number": "973-956-3333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "38 Tuxedo Dr",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "NJ",
"postal_code": "074702728",
"country_code": "US",
"telephone_number": "862-591-0454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANACORE",
"first_name": "DEANNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01107400",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ01107400",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ01107400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.