Individual provider Active NPI

Sally A. Johnson, NP

  • Family Nurse Practitioner
  • Robbinsville, NJ
National Provider Identifier
1518588243
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01042000 Issued in NJ
Practice address
1 Washington Blvd Ste 9
Robbinsville, NJ 08691-3162
Phone
(732) 314-0540
Fax
(609) 934-4140
NPI assigned
May 5, 2020
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR13121000 NJ
Family Nurse Practitioner 363LF0000X 26NJ01042000 NJ Primary

Addresses

Primary practice location

1 Washington Blvd Ste 9
Robbinsville, NJ 08691-3162

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other practice location 1

629 Cranbury Rd Fl 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other practice location 2

9 Centre Dr Ste 100
Monroe Township, NJ 08831-5153
Phone (609) 395-5577

Other practice location 3

34-36 Progress St Ste B2
Edison, NJ 08820-1197
Phone (908) 757-9696

Other identifiers 3

IdentifierTypeStateIssuer
14981431OtherNJCAQH ID
2020005052OtherNJANCC BOARD CERTIFICATION
0761915MedicaidNJ

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
I20200910000326 NJ Practitioner - Nurse Practitioner 2163840034 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

1 Washington Blvd
Suite 9
Robbinsville, NJ 08691-3162
Phone (732) 314-0540

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

State licenses

LicenseStateTypeSpecialty
26NR13121000NJMDRegistered Nurse
26NJ01042000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives Inc Current Accepting new patients
Geriatrics Associates of New Jersey LLC CurrentSince Nov 4, 2024 Accepting new patients
Capital Health Multispecialty Group CurrentSince Feb 14, 2021 Accepting new patients
Ocean Health Initiatives, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Oct 15, 2021 Accepting new patients
Serenity Palliative Care Services CurrentSince Sep 12, 2022 Accepting new patients
Titan Health Partners LLC CurrentSince Jun 12, 2023 Accepting new patients
Titan Health Partners LLC CurrentSince Jun 12, 2023 Accepting new patients
Serenity Hospice Care, LLC CurrentSince Mar 21, 2025 Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

56 Georgetown Rd
Bordentown, NJ 08505
Phone (609) 227-2400

1608 Route 88 W
Ste 250
Brick, NJ 08724
Phone (732) 840-8880

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555

34-36 Progress St
Ste B
Edison, NJ 08820

34-36 Progress St
Ste B2
Edison, NJ 08820
Phone (908) 757-9696

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

9 Centre Dr
Ste 100
Monroe Township, NJ 08831
Phone (609) 395-5577

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1 Washington Blvd
Ste 9
Robbinsville, NJ 08691
Phone (732) 314-0540

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

508 Lakehurst Rd
Ste 1B
Toms River, NJ 08755
Phone (732) 244-1440

601 Route 37 W
Ste 101
Toms River, NJ 08755
Phone (732) 240-4545

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

Organizations & group practices 11

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1518588243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON BLVD STE 9",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913162",
            "telephone_number": "732-314-0540",
            "fax_number": "609-934-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Cranbury Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088164096",
            "country_code": "US",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Centre Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088315153",
            "country_code": "US",
            "telephone_number": "609-395-5577",
            "fax_number": "609-395-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34-36 Progress St Ste B2",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088201197",
            "country_code": "US",
            "telephone_number": "908-757-9696",
            "fax_number": "908-757-9721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SALLY",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13121000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01042000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "14981431",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC BOARD CERTIFICATION",
            "identifier": "2020005052",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0761915",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

Verify at the official NPI Registry.