Active NPI
Polina Sasso, FNP
- Family Nurse Practitioner
- Freehold, NJ
National Provider Identifier
1114480910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00912800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NJ00912800 | Other | NJ | APRN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00912800 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Health Initiatives Inc | Current | Accepting new patients | |
| Ocean Health Initiatives, Inc | Current | 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
- polina.sasso@593314999828484.direct.elationemr.com
- https://api.platform.athenahealth.com/11915/brand/1/csg/1/fhir/r4
- 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.
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1043306574
-
- Federally Qualified Health Center (FQHC)
- Toms River, NJ
- NPI 1417938044
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
-
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.