Individual provider Active NPI

Michael Deji Sanya, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1194462648
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01303800 Issued in NJ
Practice address
2810 Morris Ave Ste 107
Union, NJ 07083-4841
Phone
(305) 842-2185
Fax
(973) 834-5399
NPI assigned
May 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01303800 NJ Primary

Addresses

Primary practice location

2810 Morris Ave Ste 107
Union, NJ 07083-4841

Mailing address

2810 Morris Ave Ste 107
Union, NJ 07083-4841
Phone (305) 842-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230802002908 NJ Practitioner - Nurse Practitioner 5092176354 Reassigns benefits to 3 organizations
I20251124001726 NY Practitioner - Nurse Practitioner 5092176354 Reassigns benefits to 2 organizations
I20260407000567 VT Practitioner - Nurse Practitioner 5092176354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Success TMS Professional Services New Jersey LLCGroup PAC ID 9638592249, 17 clinicians

Practice addresses (Care Compare)

517 Route 1 S
Suite 1109
Iselin, NJ 08830-3011
Phone (973) 954-4592

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Oct 25, 2025 Accepting new patients
Mental Health Specialty Group NJ, PC CurrentSince May 1, 2025 Accepting new patients
Success TMS Professional Services New Jersey LLC CurrentSince Jun 19, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Oct 15, 2025 Accepting new patients

Locations

1615 S Congress Ave
Ste 200
Delray Beach, FL 33445

310 Central Ave
Ste 105
East Orange, NJ 07018
Phone (862) 658-7190

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

30 Two Bridges Rd
Ste 205
Fairfield, NJ 07004

1 University Plz
Ste 408
Hackensack, NJ 07601

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

517 Route 1 S
Ste 1109
Iselin, NJ 08830
Phone (732) 896-9847

45 Essex St
Ste 200
Millburn, NJ 07041
Phone (973) 840-8517

830 Morris Tpke
Short Hills, NJ 07078
Phone (973) 302-6040

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 5

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1194462648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE STE 107",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834841",
            "telephone_number": "305-842-2185",
            "fax_number": "973-834-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE STE 107",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834841",
            "telephone_number": "305-842-2185",
            "fax_number": "973-834-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANYA",
        "first_name": "MICHAEL",
        "middle_name": "DEJI",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01303800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.