Active NPI
Sarah Williston, APN
- Pediatric Nurse Practitioner
- Hackettstown, NJ
National Provider Identifier
1730738550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ00956600
- Practice address
- 254B Mountain Ave Ste 100
Hackettstown, NJ 07840-2413 - Phone
- (908) 852-6400
- NPI assigned
- Sep 4, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00956600 | NJ | Primary |
Addresses
Primary practice location
254B Mountain Ave Ste 100
Hackettstown, NJ 07840-2413
Mailing address
174 Mountainside Rd
Mendham, NJ 07945-1718
Phone (443) 386-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1730738550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 MOUNTAINSIDE RD",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079451718",
"telephone_number": "443-386-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254B MOUNTAIN AVE STE 100",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402413",
"telephone_number": "908-852-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLISTON",
"first_name": "SARAH",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00956600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.