Active NPI
Sonia Fernandes, APN
- Women's Health Nurse Practitioner
- Elizabeth, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ01316800
- Practice address
- 1171 Elizabeth Ave
Elizabeth, NJ 07201-2200 - Phone
- (908) 351-5384
- NPI assigned
- Jun 2, 2022
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ01316800 | NJ | Primary |
Addresses
Primary practice location
1171 Elizabeth Ave
Elizabeth, NJ 07201-2200
Mailing address
764 Nixon Rd
Union, NJ 07083-7620
Phone (908) 636-1994
Other practice location 1
196 Speedwell Ave
Morristown, NJ 07960-2934
Phone (973) 539-1364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth@ppgnnj.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935
16 Pocono Rd
Denville, NJ 07834-2905
16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01316800 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Associates, LLC | Current | Accepting new patients |
Locations
16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935
100 Campus Dr
Ste 405
Florham Park, NJ 07932
Phone (800) 845-2785
1323 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-4334
Interoperability endpoints
- sonia.fernandes.1@27010.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sonia.fernandes.p11@direct.ppncsnj.nextgenshare.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1528707049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 NIXON RD",
"city": "UNION",
"state": "NJ",
"postal_code": "070837620",
"telephone_number": "908-636-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 ELIZABETH AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012200",
"telephone_number": "908-351-5384"
}
],
"practiceLocations": [
{
"address_1": "196 Speedwell Ave",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079602934",
"country_code": "US",
"telephone_number": "973-539-1364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDES",
"first_name": "SONIA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ01316800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth@ppgnnj.org",
"affiliation": "N",
"address_1": "1171 Elizabeth Ave",
"city": "Elizabeth",
"state": "NJ",
"country_code": "US",
"postal_code": "072012200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.