Individual provider Active NPI

Sajee Sebastian, NP

  • Adult Health Nurse Practitioner
  • Whippany, NJ
National Provider Identifier
1730709247
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00931700 Issued in NJ
Practice address
25 Crescent Dr
Whippany, NJ 07981-2006
Phone
(201) 407-0863
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00931700 NJ Primary

Addresses

Primary practice location

25 Crescent Dr
Whippany, NJ 07981-2006

Mailing address

25 Crescent Dr
Whippany, NJ 07981-2006
Phone (201) 407-0863

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Whippany

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
I20231113002802 NJ Practitioner - Nurse Practitioner 4486001468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University HospitalGroup PAC ID 5294636874, 77 clinicians

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-3282

30 Bergen St
Admc 1327
Newark, NJ 07103-1709

30 Bergen St Admc
1327 Attn John Gary Huck
Newark, NJ 07103-1709

Hospital & facility affiliations

  • The University Hospital Hospital, Newark, NJ, CCN 310119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Oct 1, 2023 Accepting new patients
University Hospital CurrentSince Oct 1, 2023 Accepting new patients

Locations

140 Bergen St
#F1776
Newark, NJ 07103
Phone (973) 972-3282

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1730709247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CRESCENT DR",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812006",
            "telephone_number": "201-407-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CRESCENT DR",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812006",
            "telephone_number": "201-407-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "SAJEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00931700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Whippany",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Whippany",
            "address_1": "25 Crescent Dr",
            "city": "Whippany",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079812006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

Verify at the official NPI Registry.