Individual provider Active NPI

Sheila Santiago, ANP-BC

  • Adult Health Nurse Practitioner
  • Parsippany, NJ
National Provider Identifier
1356605224
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00381600 Issued in NJ
Practice address
3699 US Highway 46
Parsippany, NJ 07054-1049
Phone
(973) 794-6080
Fax
(973) 794-6081
NPI assigned
Jun 26, 2012
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00381600 NJ Primary

Addresses

Primary practice location

3699 US Highway 46
Parsippany, NJ 07054-1049

Mailing address

3699 US Highway 46
Parsippany, NJ 07054-1049
Phone (973) 794-6080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000092 NJ Practitioner - Nurse Practitioner 9436300134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00381600NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Feb 1, 2016 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Oct 15, 2012 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Oct 15, 2012 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Feb 1, 2016 Accepting new patients

Locations

152 Central Ave
Clark, NJ 07066
Phone (732) 382-9700

10 Parsonage Rd
Ste 102
Edison, NJ 08837
Phone (732) 662-4680

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

3699 US Highway 46
Parsippany, NJ 07054
Phone (973) 334-0224

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations & group practices 4

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1356605224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541049",
            "telephone_number": "973-794-6080",
            "fax_number": "973-794-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541049",
            "telephone_number": "973-794-6080",
            "fax_number": "973-794-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "SHEILA",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00381600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.