Active NPI
Shannon Erica Sakowski, R.N.
- Registered Nurse
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NR11127400
- Practice address
- 110 North Fulton Street
Apt. 407
Bloomfield, NJ 07003 - Phone
- (973) 743-3295
- NPI assigned
- Oct 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 589109 | CA | |
| Registered Nurse | 163W00000X | 26NR11127400 | NJ | Primary |
Addresses
Primary practice location
110 North Fulton Street
Apt. 407
Bloomfield, NJ 07003
Mailing address
110 N Fulton St
Apt. 407
Bloomfield, NJ 07003-2200
Phone (973) 743-3295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rutgers New Jersey Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-8934
Hospital & facility affiliations
- Zuckerberg San Francisco General Hosp & Trauma Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.28 of 100
- Quality
- 89.92
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589109 | CA | MD | Registered Nurse |
| 26NR11127400 | NJ | MD | Registered Nurse |
| 3641 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesia Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients |
Locations
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
1600 Divisadero St
#1605
San Francisco, CA 94143
Phone (415) 476-9058
1001 Potrero Ave
Rm 3C34
San Francisco, CA 94110
Phone (628) 206-8934
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1083802474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N FULTON ST",
"address_2": "APT. 407",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032200",
"telephone_number": "973-743-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NORTH FULTON STREET",
"address_2": "APT. 407",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-743-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKOWSKI",
"first_name": "SHANNON",
"middle_name": "ERICA",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "589109",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR11127400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.