Active NPI
Kojo Sasah, CRNP
- Gerontology Nurse Practitioner
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ14906800
- Practice address
- 90 Brick Rd FL 3
Marlton, NJ 08053-2177 - Phone
- (856) 355-6000
- NPI assigned
- Sep 28, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP017918 | PA | |
| Nurse Practitioner | 363L00000X | 26NJ14906800 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | SP017918 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ14906800 | NJ | Primary |
Addresses
Primary practice location
90 Brick Rd FL 3
Marlton, NJ 08053-2177
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
325 S Belmont St
York, PA 17403
Phone (717) 843-8623
Other practice location 2
100 Bowman Dr Lowr Level1
Voorhees, NJ 08043-9612
Phone (856) 247-3000
Other practice location 3
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 914-6180
Other practice location 4
1600 Haddon Ave Fl 6
Camden, NJ 08103-3101
Phone (856) 757-3500
Other practice location 5
218 Sunset Rd Fl 5
Willingboro, NJ 08046-1110
Phone (609) 444-0599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103474880 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623
Hospital & facility affiliations
- Upmc Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.15 of 100
- Quality
- 88.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14906800 | NJ | MD | Nurse Practitioner |
| SP017918 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Nurse Practitioner | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Nurse Practitioner | Current | Accepting new patients |
| Pinnacle Health Hospitalist Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Nurse Practitioner | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1600 Haddon Ave
Fl 6
Camden, NJ 08103
Phone (856) 247-2160
303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000
218 Sunset Rd
Fl 5
Willingboro, NJ 08046
Phone (609) 444-0359
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623
Interoperability endpoints
- ksasah302214@upmc.direct-ci.com
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Harrisburg, PA
- NPI 1023458148
Nurse Practitioner
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Cherry Hill, NJ
- NPI 1164972998
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Obstetrics & Gynecology Physician
- Hanover, PA
- NPI 1982182754
-
- Internal Medicine Physician
- York, PA
- NPI 1407376692
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1306355755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BRICK RD FL 3",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532177",
"telephone_number": "856-355-6000"
}
],
"practiceLocations": [
{
"address_1": "325 S Belmont St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "17403",
"country_code": "US",
"telephone_number": "717-843-8623",
"fax_number": "717-815-2489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Bowman Dr Lowr Level1",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439612",
"country_code": "US",
"telephone_number": "856-247-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Madison Ave",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NJ",
"postal_code": "080602038",
"country_code": "US",
"telephone_number": "609-914-6180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Haddon Ave Fl 6",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081033101",
"country_code": "US",
"telephone_number": "856-757-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 Sunset Rd Fl 5",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461110",
"country_code": "US",
"telephone_number": "609-444-0599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SASAH",
"first_name": "KOJO",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP017918",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ14906800",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP017918",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ14906800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103474880",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.