Individual provider Active NPI

Yamini Chandrakala Sakunala, NP

  • Family Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1457625022
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00326800 Issued in NJ
Practice address
271 S New Prospect Rd
271
Jackson, NJ 08527-1736
Phone
(732) 244-4700
NPI assigned
Feb 29, 2012
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00326800 NJ Primary

Addresses

Primary practice location

271 S New Prospect Rd
271
Jackson, NJ 08527-1736

Mailing address

271 S New Prospect Rd
271
Jackson, NJ 08527-1736
Phone (732) 244-4700

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
I20140106000966 NJ Practitioner - Nurse Practitioner 4183851215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

4 Paragon Way
Suite 300
Freehold, NJ 07728-7805
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Feb 23, 2018 Accepting new patients
Rami E Geffner MD PA Past Accepting new patients

Locations

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

51 Kent Rd
Howell, NJ 07731
Phone (732) 886-7503

200 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 400-3910

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

368 Lakehurst Rd
Ste 201
Toms River, NJ 08755
Phone (732) 505-1500

Interoperability endpoints

  • Direct secure messaging: ysukunala@schweigerderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1457625022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 S NEW PROSPECT RD",
            "address_2": "271",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271736",
            "telephone_number": "732-244-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S NEW PROSPECT RD",
            "address_2": "271",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271736",
            "telephone_number": "732-244-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKUNALA",
        "first_name": "YAMINI",
        "middle_name": "CHANDRAKALA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00326800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.