Active NPI
Sandra Alves Matias, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- North Bergen, NJ
National Provider Identifier
1508548199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ14890600
- Practice address
- 8901 Kennedy Blvd Ste 1W
North Bergen, NJ 07047-5344 - Phone
- (201) 430-2022
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ14890600 | NJ | Primary |
Addresses
Primary practice location
8901 Kennedy Blvd Ste 1W
North Bergen, NJ 07047-5344
Mailing address
4 Gold LN
Oak Ridge, NJ 07438-9023
Phone (201) 982-0590
Other names 1
- Sandra Alves Gandarez
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14890600 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation and Pain Medicine | Past | Accepting new patients | |
| Advanced Rehabilitation and Pain Medicine Group, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pain Clinic/Center
- North Bergen, NJ
- NPI 1447553037
-
- Interventional Pain Medicine Physician
- North Bergen, NJ
- NPI 1932469285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784332800000",
"number": "1508548199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GOLD LN",
"city": "OAK RIDGE",
"state": "NJ",
"postal_code": "074389023",
"telephone_number": "201-982-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 KENNEDY BLVD STE 1W",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475344",
"telephone_number": "201-430-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "SANDRA",
"middle_name": "ALVES",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2026-07-18",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ14890600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "GANDAREZ",
"middle_name": "ALVES",
"credential": "NURSE PRACTITIONER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.