Active NPI
Alberto Sarmiento
- Nurse Practitioner
- Lodi, NJ
National Provider Identifier
1639584337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00506900
- Practice address
- 69 Hamilton Ave
Lodi, NJ 07644-1407 - Phone
- (201) 310-0732
- NPI assigned
- Jun 22, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00506900 | NJ | Primary |
Addresses
Primary practice location
69 Hamilton Ave
Lodi, NJ 07644-1407
Mailing address
69 Hamilton Ave
Lodi, NJ 07644-1407
Phone (201) 310-0732
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170510000195 | NJ | Order and Referring Only - Hematology/Oncology | 7719264241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403395200000",
"number": "1639584337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 HAMILTON AVE",
"city": "LODI",
"state": "NJ",
"postal_code": "076441407",
"telephone_number": "201-310-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 HAMILTON AVE",
"city": "LODI",
"state": "NJ",
"postal_code": "076441407",
"telephone_number": "201-310-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARMIENTO",
"first_name": "ALBERTO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-22",
"last_updated": "2014-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00506900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.