NPI Code Details Logo

NPI 1255147203

NPI 1255147203 : FAITH SASSAMAN FNP-BC : HACKETTSTOWN, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255147203
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    FAITH SASSAMAN FNP-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/05/2024
-----------------------------------------------------
    Last Update Date     |    05/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    254B MOUNTAIN AVE STE 100 
-----------------------------------------------------
    City                 |    HACKETTSTOWN
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07840-2413
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-852-6400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    784 OXFORD ST 
-----------------------------------------------------
    City                 |    BELVIDERE
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07823-1610
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-894-0081
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    26NJ15224100
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.