Active NPI
Sashauna V Dapaah
- Gerontology Nurse Practitioner
- Lakewood, NJ
National Provider Identifier
1780453530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ14964900
- Practice address
- 685 River Ave
Lakewood, NJ 08701-5288 - Phone
- (732) 486-7373
- NPI assigned
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ14964900 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ14964900 | NJ | Primary |
Addresses
Primary practice location
685 River Ave
Lakewood, NJ 08701-5288
Mailing address
380 Hoover Ave Apt 147
Bloomfield, NJ 07003-3979
Phone (908) 400-7016
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 S Orange Ave
Suite 235
Livingston, NJ 07039-4915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14964900 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal NP Services, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855
456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200
Interoperability endpoints
- sashauna.dapaah.1@32967.direct.athenahealth.com
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.
-
- Multi-Specialty Clinic/Center
- East Hanover, NJ
- NPI 1134939333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1780453530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 HOOVER AVE APT 147",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033979",
"telephone_number": "908-400-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015288",
"telephone_number": "732-486-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAPAAH",
"first_name": "SASHAUNA",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ14964900",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ14964900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.