Individual provider Active NPI

Sharissa Petit-Frere, APRN

  • Family Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1336821289
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14872900 Issued in NJ
Practice address
1171 Elizabeth Ave
Elizabeth, NJ 07201-2200
Phone
(908) 351-5384
NPI assigned
Aug 1, 2023
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14872900 NJ Primary
Family Nurse Practitioner 363LF0000X 352115 NY

Addresses

Primary practice location

1171 Elizabeth Ave
Elizabeth, NJ 07201-2200

Mailing address

114 Washington Ave
Elizabeth, NJ 07202-3409
Phone (908) 447-3824

Other practice location 1

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (888) 731-8994

Other practice location 2

139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240822000045 NJ Practitioner - Nurse Practitioner 1850830852 Reassigns benefits to 4 organizations
I20250915001543 NY Practitioner - Nurse Practitioner 1850830852 Reassigns benefits to 1 organization

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
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Klein Medical ServicesGroup PAC ID 7911424072, 7 clinicians

Practice addresses (Care Compare)

1045 Bloomfield Ave
Clifton, NJ 07012-2120
Phone (973) 883-1111

3930 Richmond Ave
Suite 104
Staten Island, NY 10312-5103
Phone (718) 957-1342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ14872900NJMDFamily Nurse Practitioner
352115NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 1, 2025 Accepting new patients
Jersey Med Well Family CurrentSince Jun 22, 2025 Accepting new patients
Jonathan Larson MD PC CurrentSince Jul 24, 2024 Accepting new patients
Klein Medical Services CurrentSince Jul 7, 2025 Accepting new patients
Wound Healing Associates PC CurrentSince May 1, 2025 Accepting new patients
Integrative Womens Care NJ PC Past Accepting new patients
Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Ira Klein PLLC Family PastSince Nov 9, 2025 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1045 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 883-1111

221 County Rd
#One
Cresskill, NJ 07626
Phone (201) 567-4444

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

290 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-0789

1913 Atlantic Ave
Ste 251A
Manasquan, NJ 08736
Phone (718) 957-1342

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

175 High St
Newton, NJ 07860
Phone (973) 383-2121

695 N Route 17
Paramus, NJ 07652
Phone (201) 597-4000

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

3930 Richmond Ave
Ste 104
Staten Island, NY 10312
Phone (718) 948-1479

Interoperability endpoints

  • Direct secure messaging: sharissa.petit-frere.1@27069.direct.athenahealth.com
  • Direct secure messaging: sharissa.petitfrere.p11@direct.ppncsnj.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1336821289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023409",
            "telephone_number": "908-447-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012200",
            "telephone_number": "908-351-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETIT-FRERE",
        "first_name": "SHARISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14872900",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.