Individual provider Active NPI

Polina Sasso, FNP

  • Family Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1114480910
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00912800 Issued in NJ
Practice address
1B Five Points Rd
Freehold, NJ 07728-7836
Phone
(732) 580-2373
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00912800 NJ Primary

Addresses

Primary practice location

1B Five Points Rd
Freehold, NJ 07728-7836

Mailing address

1B Five Points Rd
Freehold, NJ 07728-7836
Phone (732) 580-2373

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00912800OtherNJAPRN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gosassogo@verizon.net Direct

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
I20190625001615 NJ Practitioner - Nurse Practitioner 6800120874 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00912800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives Inc CurrentSince Jul 1, 2019 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Jul 1, 2019 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

20 Jackson St
Ste E
Freehold, NJ 07728

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

Interoperability endpoints

  • Direct secure messaging: polina.sasso@593314999828484.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/11915/brand/1/csg/1/fhir/r4
  • Direct secure messaging: polina.sasso.1@11915.direct.athenahealth.com

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1114480910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1B FIVE POINTS RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287836",
            "telephone_number": "732-580-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1B FIVE POINTS RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287836",
            "telephone_number": "732-580-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSO",
        "first_name": "POLINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00912800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "26NJ00912800",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gosassogo@verizon.net",
            "affiliation": "N",
            "endpointDescription": "other email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1B Five Points Rd",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077287836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.