Active NPI
Saron Yohannes, APN
- Family Nurse Practitioner
- Oradell, NJ
National Provider Identifier
1417472408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00650700
- Practice address
- 550 Kinderkamack Rd
Oradell, NJ 07649-1500 - Phone
- (291) 261-9445
- NPI assigned
- Aug 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00650700 | NJ | Primary |
Addresses
Primary practice location
550 Kinderkamack Rd
Oradell, NJ 07649-1500
Mailing address
550 Kinderkamack Rd Ste 200
Oradell, NJ 07649-1500
Phone (201) 523-9655
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1417472408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 KINDERKAMACK RD STE 200",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491500",
"telephone_number": "201-523-9655",
"fax_number": "201-523-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 KINDERKAMACK RD",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491500",
"telephone_number": "291-261-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOHANNES",
"first_name": "SARON",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00650700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oradell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.