Sandra Birkenhauer, RN, CPNP

Individual provider Active NPI Pediatric Nurse Practitioner · Holmdel, NJ

NPI 1114368172 · NPPES record last updated May 19, 2015

Key facts

NPI
1114368172
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
26NJ00544700 (NJ)
Practice address
670 N Beers St BLDG 4
Holmdel, NJ 07733-1527
Phone
(732) 335-3434
NPI assigned
Jul 7, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR15538600NJMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: sbirkenhauer67201@epicdirect.rwjbh.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR15538600 NJ
Pediatric Nurse Practitioner 363LP0200X 26NJ00544700 NJ Yes

Addresses

Primary practice location

670 N Beers St BLDG 4
Holmdel, NJ 07733-1527

Mailing address

825 Adams St Apt 4B
Hoboken, NJ 07030-2191
Phone (201) 406-1771

Other names

  • Sandra Schmidt Former name

Other providers in Holmdel, NJ

All providers in Holmdel, NJ · Pediatric Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.