Active NPI
Roy Sasscer, RN
- Registered Nurse
- Jacksonville, FL
National Provider Identifier
1285178434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9324963
- Practice address
- 6900 Southpoint Dr N
Jacksonville, FL 32216-8007 - Phone
- (904) 470-6900
- NPI assigned
- Dec 7, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9324963 | FL | Primary |
Addresses
Primary practice location
6900 Southpoint Dr N
Jacksonville, FL 32216-8007
Mailing address
3709 San Pablo Rd S
Apt # 2206
Jacksonville, FL 32224-6832
Phone (904) 535-3290
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9324963 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Industries Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1285178434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 SAN PABLO RD S",
"address_2": "APT # 2206",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322246832",
"telephone_number": "904-535-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 SOUTHPOINT DR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168007",
"telephone_number": "904-470-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSCER",
"first_name": "ROY",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9324963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.