Sabrina Lynne Alfassa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00515400 Issued in NJ

Practice address

90 Bergen St FL 7
Newark, NJ 07103-2425

Phone

(973) 972-8092

Fax

(973) 972-8567

NPI assigned

Mar 14, 2019

Last updated

Feb 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: salfassa45225@epicdirect.rwjbh.org

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1730648213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST RM 1205",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST FL 7",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-8092",
            "fax_number": "973-972-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFASSA",
        "first_name": "SABRINA",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023201",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00515400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0683442",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarina Aleksic, COTA
• Stephen Alerhand, MD
• Carla Alexander, MSW
• Robert Alfano
• Terese Alfano
• Gregory Rocco Alfieri, DO
• Kimberly Marie Alfonso, LSW
• Jeffrey Ian Algazy, MD
• Yahya Mahmoud Yahya Alhalalmeh, MD
• Hani Abdulmajeed Alhamoud, M.D.

• Physician Assistant in Newark, NJ
• Providers in Newark, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.