Active NPI
Sabrina Simmons, MD
- Obstetrics & Gynecology Physician
- Franklin Park, NJ
National Provider Identifier
1356359558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA05238000
- Practice address
- 28 Wyckoff PL
Franklin Park, NJ 08823-1816 - Phone
- (732) 512-7380
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA05238000 | NJ | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | LT-2730 | NH |
Addresses
Primary practice location
28 Wyckoff PL
Franklin Park, NJ 08823-1816
Mailing address
28 Wyckoff PL
Franklin Park, NJ 08823-1816
Phone (732) 940-3276
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT-2730 | NH | MD | Obstetrics & Gynecology Physician |
| 25MA05238000 | NJ | MD | Obstetrics & Gynecology Physician |
| 25MA0523800 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centegra Primary Care, LLC | Obstetrics & Gynecology | 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.
-
- Family Medicine Physician
- Woodstock, IL
- NPI 1700905205
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1356359558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WYCKOFF PL",
"city": "FRANKLIN PARK",
"state": "NJ",
"postal_code": "088231816",
"telephone_number": "732-940-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WYCKOFF PL",
"city": "FRANKLIN PARK",
"state": "NJ",
"postal_code": "088231816",
"telephone_number": "732-512-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SABRINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA05238000",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "LT-2730",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.