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PAIGE MERCEDES SUMBALY CPNP-PC
NPI 1417628199
Nurse Practitioner - Pediatrics in East Brunswick, NJ

Active since September 23, 2021PECOS Enrolled
7 ALBEMARLE RD, EAST BRUNSWICK, NJ 08816(732) 322-0364 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2023, Sep 23, 2021 (2 updates tracked since 2021).

About Paige Mercedes Sumbaly Cpnp-pc NPPES

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

PAIGE MERCEDES SUMBALY CPNP-PC (NPI 1417628199) is an individual pediatrics provider in East Brunswick, New Jersey, licensed in New Jersey (26NJ01202600) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417628199
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NamePAIGE MERCEDES SUMBALYCredential: CPNP-PC
Location Address7 ALBEMARLE RDEast Brunswick, NJ 08816-4214
Mailing Address7 Albemarle RdEast Brunswick, NJ 08816-4214 · (732) 322-0364
Phone(732) 322-0364
Sole ProprietorNo
Enumeration DateSeptember 23, 2021
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1417628199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NJ · 26NJ01202600
7 ALBEMARLE RD, East Brunswick, NJ 08816
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paige Mercedes Sumbaly Cpnp-pc 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.

Medicare Billing Reassignment

Medicare enrollment records show Paige Sumbaly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Neurosurgery Faculty
6.4 mi
Pediatric Surgery
1 ROBERT WOOD JOHNSON PL STE 2100
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group
NPI 1659406957 (732) 235-7044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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.

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 Paige Sumbaly's NPI number?

The NPI number for Paige Sumbaly is 1417628199. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Paige Sumbaly located?

Paige Sumbaly practices at 7 Albemarle Rd, East Brunswick, NJ 08816. The listed phone number is (732) 322-0364.

What is Paige Sumbaly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Paige Sumbaly enrolled in Medicare?

Yes. Paige Sumbaly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paige Sumbaly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paige Sumbaly reassigns Medicare benefits to Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ). The 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 Paige Sumbaly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paige Sumbaly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Paige Sumbaly 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 Paige Sumbaly was last updated on November 15, 2023. 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.