Individual provider Active NPI

Sujeiry Sanchez, FNP

  • Family Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1093903577
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15186500 Issued in NJ
Practice address
475 South St
Morristown, NJ 07960-6459
Phone
(800) 247-9580
NPI assigned
Oct 9, 2007
Reactivated
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 283281 NY
Family Nurse Practitioner 363LF0000X 26NJ15186500 NJ Primary

Addresses

Primary practice location

475 South St
Morristown, NJ 07960-6459

Mailing address

475 South St
Morristown, NJ 07960-6459
Phone (800) 247-9580

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
I20250130001429 NJ Practitioner - Nurse Practitioner 0042749442 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roseville Medical Society LLCGroup PAC ID 3072939255, 15 clinicians
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

346 Roseville Ave
Newark, NJ 07107-1722
Phone (973) 482-7245

613 Park Ave
FL 2
East Orange, NJ 07017-1905
Phone (973) 672-8573

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283281NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Medical Society LLC CurrentSince Mar 3, 2025 Accepting new patients
Gamil Makar MD LLC CurrentSince Jan 6, 2025 Accepting new patients
Metropolitan Medical Group LLC CurrentSince Mar 3, 2025 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Mar 3, 2025 Accepting new patients
NJ Covid Team LLC Past Accepting new patients

Locations

14 Washington St
Bloomfield, NJ 07003
Phone (973) 429-0601

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

1575 Route 517
Hackettstown, NJ 07840
Phone (646) 209-5519

95 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 841-0319

485 Mount Prospect Ave
Fl Grd
Newark, NJ 07104

292 Lafayette St
Newark, NJ 07105
Phone (866) 525-9018

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

485 Mount Prospect Ave
#1
Newark, NJ 07104

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

764 Main St
Ste 303
Paterson, NJ 07503
Phone (862) 249-4901

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1093903577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606459",
            "telephone_number": "800-247-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606459",
            "telephone_number": "800-247-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "SUJEIRY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "deactivation_date": "2024-06-21",
        "reactivation_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "283281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15186500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.