Provider Demographics
NPI:1386618528
Name:SABADOS-CAROLINA, JOANN ELIZABETH (APRN,BC-ADM,CDE)
Entity type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:ELIZABETH
Last Name:SABADOS-CAROLINA
Suffix:
Gender:F
Credentials:APRN,BC-ADM,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 W LAKE AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4663
Mailing Address - Country:US
Mailing Address - Phone:732-869-5763
Mailing Address - Fax:732-869-5784
Practice Address - Street 1:1828 W LAKE AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4663
Practice Address - Country:US
Practice Address - Phone:732-869-5763
Practice Address - Fax:732-869-5784
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05759200363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
S62587Medicare UPIN