DR. SARAH SERTIAL PAUL D.O.
NPI 1619238383
Pediatrics - Pediatric Rheumatology in Morristown, NJ

NPI Status: Active since May 30, 2012

Contact Information

100 MADISON AVE
FARRIS BUILDING, 4TH FLOOR
MORRISTOWN, NJ
ZIP 07960
Phone: (973) 971-4096
Fax: (973) 290-7177

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  • Individual
  • Female
  • Pediatrics
  • Pediatric Rheumatology
  • Accepts Insurance
  • PECOS Enrolled

About SARAH PAUL

This page provides the complete NPI Profile along with additional information for Sarah Paul, a pediatrician established in Morristown, New Jersey with a medical specialization in Pediatrics, focusing in pediatric rheumatology . The healthcare provider is registered in the NPI registry with number 1619238383 assigned on May 2012. The practitioner's primary taxonomy code is 2080P0216X with license number 25MB10586800 (NJ). The provider is registered as an individual and her NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1619238383
Provider Name
DR. SARAH SERTIAL PAUL D.O.
Other Name
DR. SARAH SERTIAL DO
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
100 MADISON AVE FARRIS BUILDING, 4TH FLOOR MORRISTOWN, NJ 07960
Location Phone
(973) 971-4096
Location Fax
(973) 290-7177
Mailing Address
PO BOX 416457 BOSTON, MA 02241
Mailing Phone
(844) 362-1735
Mailing Fax
(973) 290-7177
Is Sole Proprietor?
Yes
Enumeration Date
05-30-2012
Last Update Date
07-31-2019
Code Navigator

A pediatrician like Sarah Paul is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 90 Hope Dr # A480
    Hershey, PA 17033
    (717) 531-8882

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Rheumatology

Taxonomy Code
2080P0216X
Type
Allopathic & Osteopathic Physicians
License No.
25MB10586800
License State
NJ
Taxonomy Description
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sarah Paul is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. SARAH SERTIAL PAUL D.O.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619238383, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 4 + 3 + 1 + 6 + 3 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1619238383.

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The following 20 providers are registered at the same or a nearby location.

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Anesthesiology
100 MADISON AVE
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Anesthesiology
100 MADISON AVE
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Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Anesthesiology
100 MADISON AVE
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619238383, enumerated as an "individual" on May 30, 2012.

The provider is located at 100 MADISON AVE FARRIS BUILDING, 4TH FLOOR MORRISTOWN, NJ 07960 and the phone number is (973) 971-4096.

Pediatrics with taxonomy code 2080P0216X and a focus in Pediatric Rheumatology.

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.