Active NPI
Craig Stefan Sanders, NURSE PRACTITIONER
- Nurse Practitioner
- Langhorne, PA
National Provider Identifier
1922845742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP029569
- Practice address
- 360 N Oxford Valley Rd
Ste 400
Langhorne, PA 19047-8302 - Phone
- (215) 943-9000
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP029569 | PA | Primary |
Addresses
Primary practice location
360 N Oxford Valley Rd
Ste 400
Langhorne, PA 19047-8302
Mailing address
360 North Oxford Valley Rd
Ste 400
Langhorne, PA 19047
Phone (609) 784-4265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP029569 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kane Wound Care LLC | Current | Accepting new patients |
Locations
3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445
743 Mahoning St
Milton, PA 17847
Phone (570) 742-2681
8601 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 233-6200
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": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1922845742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 NORTH OXFORD VALLEY RD",
"address_2": "STE 400",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "19047",
"telephone_number": "609-784-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N OXFORD VALLEY RD",
"address_2": "STE 400",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478302",
"telephone_number": "215-943-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "CRAIG",
"middle_name": "STEFAN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP029569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.