James Glen Sanderson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB07524000 Issued in NJ

Practice address

3 Webster Ave
Jersey City, NJ 07307-1824

Phone

(201) 216-1505

Fax

(201) 216-8803

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• New Jersey Medical and Health Associates,LLC

  • Internal Medicine Physician
  • Hoboken, NJ
  • NPI 1558673582
  Medicare reassignment NPD
• Carl Restivo Jr., M.D., PA

  • Rheumatology Physician
  • Jersey City, NJ
  • NPI 1326354267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1154328193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUDSON CT",
            "address_2": "APARTMENT #3-B",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022135",
            "telephone_number": "201-216-1505",
            "fax_number": "201-216-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WEBSTER AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071824",
            "telephone_number": "201-216-1505",
            "fax_number": "201-216-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JAMES",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07524000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039217",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Sanchez
• Vanessa Sanchez, LMT
• Yolanda Olivia Sanchez
• Indra Sanders
• Rita Sanders, TRICHOLOGIST
• Mary Jesna Sandoval
• Arpitkumar Dhanjibhai Sanghani
• Shimal Sanghvi, MD
• Sanitas Medical Center of New Jersey PC
• Unknown Saniya Sadaf, MPH

• Family Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.

Verify at the official NPI Registry.