Individual provider Active NPI

Sandra R Hartman, RN MSN APN

  • Nephrology Physician
  • Northfield, NJ
National Provider Identifier
1255340485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
NJ00019800 Issued in NJ
Practice address
510 Jackson Ave
Northfield, NJ 08225
Phone
(609) 383-0200
Fax
(609) 383-8352
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

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
Nephrology Physician 207RN0300X NJ00019800 NJ Primary

Addresses

Primary practice location

510 Jackson Ave
Northfield, NJ 08225

Mailing address

1452 Joseph Ave
Ocean View, NJ 08230-1312
Phone (609) 383-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NJ00019800NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Nephrology Associates, P.a. Nephrology Past Accepting new patients
Northeast Kidney Care LLC Nephrology PastSince Apr 1, 2024 Accepting new patients

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255340485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 JOSEPH AVE",
            "city": "OCEAN VIEW",
            "state": "NJ",
            "postal_code": "082301312",
            "telephone_number": "609-383-0200",
            "fax_number": "609-383-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 JACKSON AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "08225",
            "telephone_number": "609-383-0200",
            "fax_number": "609-383-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "SANDRA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN MSN APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "NJ00019800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.