Active NPI
Kimberly Sage, FNP
- Family Nurse Practitioner
- South Plainfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345666
- Practice address
- 1511 Park Ave
South Plainfield, NJ 07080-5568 - Phone
- (908) 561-9500
- Fax
- (908) 561-7162
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 345666 | NY | Primary |
Addresses
Primary practice location
1511 Park Ave
South Plainfield, NJ 07080-5568
Mailing address
1511 Park Ave
South Plainfield, NJ 07080-5568
Phone (908) 561-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260423002645 | NY | Practitioner - Nurse Practitioner | 6800280074 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
130 E 77TH St
New York, NY 10075-1851
Phone (212) 434-6400
Hospital & facility affiliations
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345666 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients |
Locations
225 May St
Ste A1
Edison, NJ 08837
Phone (732) 346-5490
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- kimberlysage@nslijmedgr.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1194335372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805568",
"telephone_number": "908-561-9500",
"fax_number": "908-561-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805568",
"telephone_number": "908-561-9500",
"fax_number": "908-561-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "KIMBERLY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.