Joann Sampolski, APN

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

26NJ00690200 Issued in NJ

Practice address

1907 New Rd
Northfield, NJ 08225-1545

Phone

(609) 645-8884

Fax

(609) 645-9780

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11851/brand/1/csg/1/fhir/r4

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.

• Shore Atlantic Geriatrics LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Villas, NJ
  • NPI 1508882051
  Medicare reassignment NPD
• Shore Atlantic Medicine LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Villas, NJ
  • NPI 1598443517
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1730623216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MONTPELIER AVE",
            "address_2": "APT 320",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016271",
            "telephone_number": "609-320-8068",
            "fax_number": "609-645-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251545",
            "telephone_number": "609-645-8884",
            "fax_number": "609-645-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPOLSKI",
        "first_name": "JOANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "NJ",
            "license": "26NJ00690200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorymar Rosario, CMA
• Rutgers School of Dental Medicine (University John H. Cronin Dental Center)
• Tyler Rzemyk, PT
• S & H Rehabilitation Associates, LLC (Integrity Physical Therapy Wellness)
• Spencer Carl Saint-Cyr, DMD
• Samantha Anne Sampson
• Adele Anne Sand, LCSW
• Thomas Felix Santucci Jr., D.O.
• David I Sarnoff, D.C.
• John V Scalera, MD

• Gerontology Clinical Nurse Specialist in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Gerontology Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.

Verify at the official NPI Registry.