Active NPI
Sharissa Petit-Frere, APRN
- Family Nurse Practitioner
- Elizabeth, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ14872900
- Practice address
- 1171 Elizabeth Ave
Elizabeth, NJ 07201-2200 - Phone
- (908) 351-5384
- NPI assigned
- Aug 1, 2023
- Last updated
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- 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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14872900 | NJ | MD | Family Nurse Practitioner |
| 352115 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Radiology Group of New Jersey, LLC | Current | Accepting new patients | |
| Jersey Med Well | Family | Current | Accepting new patients |
| Jonathan Larson MD PC | Current | Accepting new patients | |
| Klein Medical Services | Current | Accepting new patients | |
| Wound Healing Associates PC | Current | 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 | Past | Accepting new patients | |
| Ira Klein PLLC | Family | Past | 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
- sharissa.petit-frere.1@27069.direct.athenahealth.com
- 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.
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1609665207
-
- Internal Medicine Physician
- Hawthorne, NJ
- NPI 1932585445
-
- Obstetrics & Gynecology Physician
- Newark, NJ
- NPI 1215653480
-
- Gastroenterology Physician
- Eatontown, NJ
- NPI 1831721232
-
- Ambulatory Family Planning Facility
- Shrewsbury, NJ
- NPI 1770635260
-
dba Midi Health PC
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.