Active NPI
Sandra Conti, PA
- Physician Assistant
- Holmdel, NJ
National Provider Identifier
1487712949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00091200
- Practice address
- 36 Huntley Rd
Holmdel, NJ 07733-1843 - Phone
- (732) 706-1341
- NPI assigned
- Dec 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 022598 | NY | |
| Physician Assistant | 363A00000X | 25MP00091200 | NJ | Primary |
Addresses
Primary practice location
36 Huntley Rd
Holmdel, NJ 07733-1843
Mailing address
36 Huntley Rd
Holmdel, NJ 07733-1843
Phone (732) 706-1341
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022598 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1487712949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HUNTLEY RD",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331843",
"telephone_number": "732-706-1341",
"fax_number": "732-706-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HUNTLEY RD",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331843",
"telephone_number": "732-706-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "SANDRA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "022598",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00091200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
- Complete Care at Bayshore LLC
- Complete Care at Holmdel LLC
- Complete Care Pediatrics, L.L.C.
- Harry John Coniaris, M.D.
- Michael P Conley, M.D.,F.A.C.O.G.
- Cosmetic and Dermatologic Surgery Associates LLC
- Cresting Wave Counseling
- Lauren Cristino, LCAT, ATR-BC
- Caroline Critelli
- Critical Care Consultants of New Jersey LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.