SARAH BOUJIDA PA
NPI 1104409093
Internal Medicine - Gastroenterology in Port Jefferson Station, NY

Q: What is Sarah Boujida's NPI number?

The NPI number for Sarah Boujida is 1104409093. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Sarah Boujida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Boujida was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 29, 2021PECOS Enrolled

1174 ROUTE 112, PORT JEFFERSON STATION, NY 11776(631) 642-9090 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sarah Boujida Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH BOUJIDA PA (NPI 1104409093) is an individual gastroenterology provider in Port Jefferson Station, New York, licensed in New York (026509) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104409093

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameSARAH BOUJIDACredential: PA

Location Address1174 ROUTE 112Port Jefferson Station, NY 11776-8033

Mailing Address417 45th StLindenhurst, NY 11757-2318 · (631) 747-5587

Phone(631) 642-9090

Sole ProprietorNo

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1104409093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NY · 026509

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1174 ROUTE 112, Port Jefferson Station, NY 11776

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Other Identifiers 1

Other026509NY · Nys License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Boujida Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

221 services182 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VINCENT SPERANDEO DNP

Nurse Practitioner

1174 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 320-7503

INTEGRATIVE NEUROLOGY, P.C.

Specialist

1174 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 509-1730

SOUND PHYSICIAN SERVICES PC

Anesthesiology

1174 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 744-3671

SOUND GASTROENTEROLOGY, P.C.

Internal Medicine (Gastroenterology)

1174 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 642-9090

VINCENT SPERANDEO NP IN FAMILY HEALTH PLLC

Nurse Practitioner (Family)

1174 ROUTE 112, SUITE C
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 320-7503

MARK LOWENHEIM, MD PLLC

Pediatrics (Pediatric Gastroenterology)

1174 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 403-4507

DR. ELLIOTT B DREZNICK M.D.

Internal Medicine (Gastroenterology)

1174 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 642-9090

Frequently 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 Sarah Boujida's NPI number?

The NPI number for Sarah Boujida is 1104409093. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Sarah Boujida located?

Sarah Boujida practices at 1174 Route 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 642-9090.

What is Sarah Boujida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sarah Boujida enrolled in Medicare?

Yes. Sarah Boujida is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sarah Boujida was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.