Individual provider Active NPI

Sarah Rodriguez, APN

  • Primary Care Nurse Practitioner
  • Woodbury Heights, NJ
National Provider Identifier
1013536465
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01219600 Issued in NJ
Practice address
1006 Mantua Pike
Woodbury Heights, NJ 08097-1221
Phone
(856) 845-8600
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR18780200 NJ
Registered Nurse 163W00000X RN687693 PA
Primary Care Nurse Practitioner 363LP2300X SP024769 PA
Primary Care Nurse Practitioner 363LP2300X 26NJ01219600 NJ Primary

Addresses

Primary practice location

1006 Mantua Pike
Woodbury Heights, NJ 08097-1221

Mailing address

3 Redwood CT
Voorhees, NJ 08043-3311
Phone (609) 364-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230411002203 PA Practitioner - Nurse Practitioner 2466827159 Reassigns benefits to 2 organizations
I20230928002415 NJ Practitioner - Nurse Practitioner 2466827159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 845-8600

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7320

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR18780200NJMDRegistered Nurse
RN687693PAMDRegistered Nurse
26NJ01219600NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Dec 28, 2022 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Dec 28, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 17, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 17, 2023 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 17, 2023 Accepting new patients

Locations

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1013536465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REDWOOD CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433311",
            "telephone_number": "609-364-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MANTUA PIKE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971221",
            "telephone_number": "856-845-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SARAH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18780200",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN687693",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP024769",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01219600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

Verify at the official NPI Registry.