ANNANDALE FAMILY PRACTICE LLC
NPI 1003080169
Clinic/Center - Primary Care in Lebanon, NJ
About Annandale Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNANDALE FAMILY PRACTICE LLC (NPI 1003080169) is a healthcare organization registered as a primary care in Lebanon, New Jersey and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Theresa Ann Sacchieri, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annandale Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Annandale Family Practice LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2000052
Annandale Family Practice, LLC · Lebanon, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Annandale Family Practice LLC's NPI number?
The NPI number for Annandale Family Practice LLC is 1003080169. It was assigned to this organization in the NPPES registry on April 18, 2008.
Where is Annandale Family Practice LLC located?
Annandale Family Practice LLC is located at 56 Payne Rd Suite 21, Lebanon, NJ 08833. The listed phone number is (908) 238-0100.
What is Annandale Family Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Annandale Family Practice LLC enrolled in Medicare?
Yes. Annandale Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Annandale Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Annandale Family Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Annandale Family Practice LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2000052) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Annandale Family Practice LLC accept?
Health plans from Oscar Health list Annandale Family Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Annandale Family Practice LLC was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Annandale Family Practice Llc · NPI 1003080169
Primary Care organization in Lebanon, New Jersey. Organization record, active in the CMS NPPES registry since April 18, 2008.
## Identity
- **NPI:** 1003080169 (Entity type: Organization)
- **Enumerated:** April 18, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Theresa Sacchieri, PROVIDER/OWNER
## Practice location
- **Address:** 56 PAYNE RD, SUITE 21, Lebanon, NJ 08833-3262
- **Phone:** (908) 238-0100 · **Fax:** (908) 238-0951
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003080169) · Data from the CMS NPPES public registry.