Selena Sackroolar, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00967500 Issued in NJ

Practice address

750 Brunswick Ave
Trenton, NJ 08638-4143

Phone

(609) 394-6000

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Treatment Resources LLCGroup PAC ID 2961541180, 4 clinicians

Gentle Rejuvenations Limited Liability CompanyGroup PAC ID 9133628506, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: selena.sackroolar@capitalhealth.cernerdirect.com

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.

• Gentle Rejuvenations Limited Liability Company

  • Geriatric Medicine (Internal Medicine) Physician
  • Lawrenceville, NJ
  • NPI 1316838253
  Medicare reassignment Care Compare group NPD
• Geriatric Treatment Resources LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Lawrence Township, NJ
  • NPI 1154553063
  Medicare reassignment Care Compare group NPD
• Chiropractic Health Associates of New Jersey, LLC

  • Chiropractor
  • Edison, NJ
  • NPI 1144346511
  NPD
• Primecure, PA

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1871745711
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1972152080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE STE 208",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-815-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384143",
            "telephone_number": "609-394-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 Princeton Pike",
            "address_2": "Bldg 5, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "08648",
            "country_code": "US",
            "telephone_number": "609-656-8838",
            "fax_number": "609-815-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACKROOLAR",
        "first_name": "SELENA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14272900",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00967500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Selena.Sackroolar@capitalhealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "750 Brunswick Ave",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086384143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andreas Ruppel, MD
• Rosemary Russell
• RWJ Aoi (Reteired)
• Eugene A Ryfinski, M.D.
• Moizah Saad, D.O
• Doris Allison Sacks Wilner, OD
• Farnaz Sadr, MD
• Gohar Saeed
• Saviz Saghari, MD
• Pavela Saha, MD

• Acute Care Nurse Practitioner in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.

Verify at the official NPI Registry.