Individual provider Active NPI

Deanna Marie Sanacore, APN

  • Adult Health Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1003407776
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01107400 Issued in NJ
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

Updated by the provider on Aug 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727003017 NJ Practitioner - Nurse Practitioner 7810390903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.04 of 100Reported as group
Quality
87.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Passaic River Physicians, LLC Current Accepting new patients
Axara Health CurrentSince Jan 4, 2026 Accepting new patients
Passaic River Observation, LLC CurrentSince Jun 1, 2022 Accepting new patients
Southern Bank Emergency Physicians LLC CurrentSince Jul 1, 2021 Accepting new patients
Passaic River Physicians, LLC CurrentSince Jun 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.