Individual provider Active NPI

Amber Dessalines, APN

  • Internal Medicine Physician
  • Shrewsbury, NJ
National Provider Identifier
1376248054
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26NJ01466400 Issued in NJ
Practice address
170 Avenue at the CMN Ste 2
Shrewsbury, NJ 07702-4568
Phone
(732) 747-6600
Fax
(732) 747-6001
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26NJ01466400 NJ Primary

Addresses

Primary practice location

170 Avenue at the CMN Ste 2
Shrewsbury, NJ 07702-4568

Mailing address

1684 Old Trenton Rd
Princeton Junction, NJ 08550-3205
Phone (609) 851-3351

Other practice location 1

2544 Nottingham Way
Trenton, NJ 08619-4104
Phone (732) 747-6600

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
I20230427000785 NJ Practitioner - Nurse Practitioner 8921421546 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
Telehealth
Offers telehealth services
Group practices
Dessalines Hospitalist LLCGroup PAC ID 5890048052, 2 clinicians

Practice addresses (Care Compare)

170 Ave at the CMN
Suite 2
Shrewsbury, NJ 07702-4568
Phone (732) 747-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01466400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dessalines Pride LLC CurrentSince Oct 27, 2024 Accepting new patients
Dessalines Hospitalist LLC Internal Medicine CurrentSince Apr 10, 2023 Accepting new patients

Locations

170 Avenue At the Cmn
Ste 2
Shrewsbury, NJ 07702
Phone (732) 542-6300

2544 Nottingham Way
Trenton, NJ 08619
Phone (609) 588-9500

Interoperability endpoints

  • Direct secure messaging: amber.dessalines.1@26112.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26112/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1376248054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 OLD TRENTON RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503205",
            "telephone_number": "609-851-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AVENUE AT THE CMN STE 2",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024568",
            "telephone_number": "732-747-6600",
            "fax_number": "732-747-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2544 Nottingham Way",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086194104",
            "country_code": "US",
            "telephone_number": "732-747-6600",
            "fax_number": "732-747-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESSALINES",
        "first_name": "AMBER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "26NJ01466400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.