Individual provider Active NPI

Sara Draper

  • Acute Care Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1386254654
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00987900 Issued in NJ
Practice address
400 W Black Horse Pike
Pleasantville, NJ 08232-2636
Phone
(609) 956-7101
NPI assigned
Aug 3, 2020
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00987900 NJ Primary

Addresses

Primary practice location

400 W Black Horse Pike
Pleasantville, NJ 08232-2636

Mailing address

400 W Black Horse Pike
Pleasantville, NJ 08232-2636
Phone (609) 956-7101

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
I20201124000227 NJ Practitioner - Nurse Practitioner 0244641249 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Cuidado Casero Hospice LLC CurrentSince Jan 1, 2024 Accepting new patients
Act on Total Health Medical Group, LLC CurrentSince Feb 2, 2021 Accepting new patients
Ruffin Associates Healthy Housecalls LLC Past Accepting new patients

Locations

2354 US Highway 9
Howell, NJ 07731
Phone (732) 905-5255

1634 New Rd
Northfield, NJ 08225
Phone (609) 272-0655

400 W Black Horse Pike
Ste 2
Pleasantville, NJ 08232
Phone (609) 641-1118

415 W Landis Ave
Ste 100
Vineland, NJ 08360
Phone (856) 696-5340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20926/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1386254654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322636",
            "telephone_number": "609-956-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322636",
            "telephone_number": "609-956-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00987900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.