1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Pediatrics
  6. NPI Profile

SADIE MIRABAL D.O
NPI 1255674008
Pediatrics in Newark, NJ

Active since March 30, 2013PECOS Enrolled
741 BROADWAY, NEWARK, NJ 07104(973) 675-1900(973) 676-1396 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Mar 15, 2018 (2 updates tracked since 2018).

About Sadie Mirabal D.o NPPES

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

SADIE MIRABAL D.O (NPI 1255674008) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (25MB09839200) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255674008
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSADIE MIRABALCredential: D.O
Location Address741 BROADWAYNewark, NJ 07104-4309
Mailing Address741 BroadwayNewark, NJ 07104-4309 · (973) 675-1900 · Fax (973) 676-1396
Phone(973) 675-1900
Fax(973) 676-1396
Sole ProprietorYes
Enumeration DateMarch 30, 2013
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1255674008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB09839200
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
741 BROADWAY, Newark, NJ 07104
Open in Google Maps ↗

Other Identifiers 1

Medicaid0532398NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sadie Mirabal D.o 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07104 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.

Other Providers at the Same Location NPPES 20

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

DR. XIAONING JOANIE ZHU MD
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 481-1300
MS. JORANE BONHEUR APN
Nurse Practitioner (Adult Health)
741 BROADWAY
NEWARK, NJ 07104
Essex County (800) 994-6242
PAULINE A WALKS-AKINTOBI MD
Pediatrics (Adolescent Medicine)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
MADHURI PONNALURI
Nurse Practitioner (Pediatrics)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
DR. GANIYAT TOLANI KAREEM DNP
Nurse Practitioner (Family)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
SHIRLEY MCDUFFIE CNM
Advanced Practice Midwife
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
LUIS ALZATE-DUQUE M.D.
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Essex County (201) 675-1900
NATALIE JOSEPH
Nurse Practitioner (Women's Health)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300

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 Sadie Mirabal's NPI number?

The NPI number for Sadie Mirabal is 1255674008. It was assigned to this individual provider in the NPPES registry on March 30, 2013.

Where is Sadie Mirabal located?

Sadie Mirabal practices at 741 Broadway, Newark, NJ 07104. The listed phone number is (973) 675-1900.

What is Sadie Mirabal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sadie Mirabal enrolled in Medicare?

Yes. Sadie Mirabal is registered in the Medicare PECOS enrollment system.

What insurance does Sadie Mirabal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Molina Healthcare list Sadie Mirabal 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 Sadie Mirabal was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.