Active NPI
Sarah Boddeus
- Family Nurse Practitioner
- Succasunna, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01079500
- Practice address
- 66 Sunset Strip Ste 407
Succasunna, NJ 07876-1362 - Phone
- (973) 252-1676
- NPI assigned
- Apr 4, 2016
- Last updated
- Jan 7, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01079500 | NJ | Primary |
Addresses
Primary practice location
66 Sunset Strip Ste 407
Succasunna, NJ 07876-1362
Mailing address
1643 NW 136TH Ave
Sunrise, FL 33323-3091
Phone (954) 377-2939
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01079500 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Northwest Medical Care, LLC | Current | Accepting new patients | |
| New Jersey Post Acute Medical Services 1 PA | Current | Accepting new patients | |
| NJ Pacs 2 PA | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Sunrise, FL 33323
Phone (888) 447-2362
215 Madison Ave
Madison, NJ 07940
Phone (973) 301-0005
77 Madison Ave
Morristown, NJ 07960
Phone (973) 540-9800
95 Mount Kemble Ave
Morristown, NJ 07960
Phone (973) 971-4451
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
66 Sunset Strip
Ste 407
Succasunna, NJ 07876
Phone (973) 252-1166
1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFFCAA
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Red Bank, NJ
- NPI 1578092391
-
- Hospitalist Physician
- Mendham, NJ
- NPI 1740766195
-
- Internal Medicine Physician
- Succasunna, NJ
- NPI 1306964747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1710340989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 NW 136TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333233091",
"telephone_number": "954-377-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 SUNSET STRIP STE 407",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761362",
"telephone_number": "973-252-1676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODDEUS",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01079500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.