Individual provider Active NPI

Sasha De Jesus, MD

  • Obesity Medicine (Internal Medicine) Physician
  • Secaucus, NJ
National Provider Identifier
1043672298
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
25MA11980800 Issued in NJ
Practice address
187 Blue Heron Dr
Secaucus, NJ 07094-2938
Phone
(551) 229-5083
Fax
(212) 402-1325
NPI assigned
Mar 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X ME165387 FL
Obesity Medicine (Internal Medicine) Physician 207RB0002X 25MA11980800 NJ Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 299551 NY

Addresses

Primary practice location

187 Blue Heron Dr
Secaucus, NJ 07094-2938

Mailing address

PO Box 1364
Secaucus, NJ 07096-1364
Phone (551) 229-5083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217002269 NY Practitioner - Internal Medicine 1052659091 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME165387FLMDObesity Medicine (Internal Medicine) Physician
25MA11980800NJMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jul 20, 2020 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jan 23, 2020 Accepting new patients
Metabolic Health Medical Services, P.C. Obesity Medicine CurrentSince Apr 6, 2025 Accepting new patients
Metabolic Health Medical Services, P.C. Obesity Medicine CurrentSince Apr 6, 2025 Accepting new patients
Advantagecare Physicians PC Internal Medicine CurrentSince Jul 20, 2020 Accepting new patients
Mount Sinai School of Medicine Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Mount Sinai School of Medicine Internal Medicine Past Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

408 W 14th St
Ste 201
New York, NY 10014
Phone (212) 530-0639

590 5th Ave
Fl 6
New York, NY 10036

590 5th Ave
New York, NY 10036
Phone (212) 582-7117

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEBDD/Endpoint/CBEBDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1043672298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1364",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070961364",
            "telephone_number": "551-229-5083",
            "fax_number": "212-402-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 BLUE HERON DR",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942938",
            "telephone_number": "551-229-5083",
            "fax_number": "212-402-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "SASHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-27",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME165387",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "25MA11980800",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NY",
            "license": "299551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.