Individual provider Active NPI

Elmer Sonza Sadiang-Abay, RN., MSN, APRN-BC

  • Adult Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1245399153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00098800 Issued in NJ
Practice address
3 Plaza Dr
Suite 3
Toms River, NJ 08757-3759
Phone
(732) 240-4000
Fax
(732) 240-1441
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00098800 NJ Primary

Addresses

Primary practice location

3 Plaza Dr
Suite 3
Toms River, NJ 08757-3759

Mailing address

1354 Forest Glen CT
Toms River, NJ 08755-1386
Phone (732) 557-0379

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
I20070718000562 NJ Practitioner - Nurse Practitioner 2365543501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Professional Services LLC CurrentSince Mar 1, 2008 Accepting new patients
Doshi Medical Center LLC Past Accepting new patients

Locations

75 Old Toms River Rd
Brick, NJ 08723
Phone 732244140014

962 River Ave
Lakewood, NJ 08701
Phone (732) 349-0988

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245399153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 FOREST GLEN CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551386",
            "telephone_number": "732-557-0379",
            "fax_number": "732-557-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "SUITE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573759",
            "telephone_number": "732-240-4000",
            "fax_number": "732-240-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIANG-ABAY",
        "first_name": "ELMER",
        "middle_name": "SONZA",
        "name_prefix": "Mr.",
        "credential": "RN., MSN, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00098800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.