CAROL E SGAMBELLURI MD
NPI 1255363701
Family Medicine in Green Brook, NJ

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
1005 NORTH WASHINGTON AVE, GREEN BROOK, NJ 08812(732) 968-8900(732) 968-4609 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol E Sgambelluri Md NPPES

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

CAROL E SGAMBELLURI MD (NPI 1255363701) is an individual family medicine provider in Green Brook, New Jersey, licensed in New Jersey (25MA05327000) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1988).

NPPES Registry Identity

NPI1255363701
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL E SGAMBELLURICredential: MD
Location Address1005 NORTH WASHINGTON AVEGreen Brook, NJ 08812
Mailing Address1005 North Washington AveGreen Brook, NJ 08812 · (732) 968-8900 · Fax (732) 968-4609
Fax(732) 968-4609
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1988
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255363701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MA05327000
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1005 NORTH WASHINGTON AVE, Green Brook, NJ 08812

Other Identifiers 2

Medicare UPINE69477
Medicare ID-Type Unspecified647062AQZNJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carol E Sgambelluri Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466644943
PECOS Enrollment IDI20101004000590
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 40

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
406 services217 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
398 services207 patients
Lactate dehydrogenase (enzyme) level 83615
A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.
397 services207 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
335 services179 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
301 services176 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
275 services172 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08812 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers25 claims86 services$4.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1005 NORTH WASHINGTON AVE
GREENBROOK, NJ 08812
Family Medicine
1005 NORTH WASHINGTON AVE
GREEN BROOK, NJ 08812
Family Medicine
1005 NORTH WASHINGTON AVE
GREEN BROOK, NJ 08812
Internal Medicine
1005 NORTH WASHINGTON AVE
GREEN BROOK, NJ 08812
Physician Assistant
1005 NORTH WASHINGTON AVE
GREEN BROOK, NJ 08812
Internal Medicine
1005 NORTH WASHINGTON AVE
GREEN BROOK, NJ 08812
Family Medicine
1005 NORTH WASHINGTON AVE
GREEN BROOK, NJ 08812

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 Carol Sgambelluri's NPI number?

The NPI number for Carol Sgambelluri is 1255363701. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Carol Sgambelluri located?

Carol Sgambelluri practices at 1005 North Washington Ave, Green Brook, NJ 08812. The listed phone number is (732) 968-8900.

What is Carol Sgambelluri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carol Sgambelluri enrolled in Medicare?

Yes. Carol Sgambelluri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carol Sgambelluri accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carol Sgambelluri 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 Carol Sgambelluri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.