Individual provider Active NPI

Carol Roxana Solis Sanchez, APN

  • Gerontology Nurse Practitioner
  • Union City, NJ
National Provider Identifier
1497478853
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01367200 Issued in NJ
Practice address
3196 John F Kennedy Blvd
Union City, NJ 07087-0708
Phone
(833) 617-0501
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01367200 NJ Primary

Addresses

Primary practice location

3196 John F Kennedy Blvd
Union City, NJ 07087-0708

Mailing address

222 Drake Ave
Roselle, NJ 07203-1412
Phone (908) 217-8005

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
I20221005003420 NJ Practitioner - Nurse Practitioner 5991181414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 937-8590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01367200NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services CurrentSince Aug 5, 2024 Accepting new patients
Sanitas Medical Center of New Jersey PC CurrentSince Sep 1, 2022 Accepting new patients
Sanitas Medical Center of New Jersey PC CurrentSince Sep 1, 2022 Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

200 Williamson St
Ste 120
Elizabeth, NJ 07202
Phone (833) 617-0501

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

3196 Kennedy Blvd
#F
Union City, NJ 07087
Phone (201) 330-3033

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1497478853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 DRAKE AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031412",
            "telephone_number": "908-217-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 JOHN F KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070870708",
            "telephone_number": "833-617-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS SANCHEZ",
        "first_name": "CAROL",
        "middle_name": "ROXANA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01367200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.