Individual provider Active NPI

Sonia Fernandes, APN

  • Women's Health Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1528707049
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ01316800 Issued in NJ
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

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022003599 NJ Practitioner - Nurse Practitioner 5799217279 Reassigns benefits to 1 organization

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
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

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

LicenseStateTypeSpecialty
26NJ01316800NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Oct 3, 2024 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

  • Direct secure messaging: sonia.fernandes.1@27010.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.