Individual provider Active NPI

Adrian A Sanchez, AGNP

  • Gerontology Nurse Practitioner
  • Montville, NJ
National Provider Identifier
1770111320
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01024100 Issued in NJ
Practice address
28 Springbrook Rd E
Montville, NJ 07045-9162
Phone
(201) 566-5014
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01024100 NJ Primary

Addresses

Primary practice location

28 Springbrook Rd E
Montville, NJ 07045-9162

Mailing address

28 Springbrook Rd E
Montville, NJ 07045-9162
Phone (201) 566-5014

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
I20210928001613 NJ Practitioner - Nurse Practitioner 2264839646 Reassigns benefits to 3 organizations

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
Newark Vein and Vascular Center LLCGroup PAC ID 7911327465, 4 clinicians
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

491 Mount Prospect Ave
Newark, NJ 07104-2903
Phone (973) 639-7546

613 Park Ave
FL 2
East Orange, NJ 07017-1905
Phone (973) 672-8573

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Vein and Vascular Center LLC CurrentSince Feb 1, 2023 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Mar 29, 2025 Accepting new patients
North Jersey Nephrology Assoc. PA CurrentSince Aug 23, 2021 Accepting new patients

Locations

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

485 Mount Prospect Ave
Fl Gr
Newark, NJ 07104

246 Hamburg Tpke
Ste 207
Wayne, NJ 07470
Phone (201) 796-1200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1770111320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SPRINGBROOK RD E",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459162",
            "telephone_number": "201-566-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SPRINGBROOK RD E",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459162",
            "telephone_number": "201-566-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ADRIAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01024100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.