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DR. SUMAIYA BEGUM ULLAH MD
NPI 1619471265
Pediatrics in Hackensack, NJ

Active since March 20, 2018PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2021, Mar 20, 2018 (2 updates tracked since 2018).

About Dr. Sumaiya Begum Ullah Md NPPES

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

DR. SUMAIYA BEGUM ULLAH MD (NPI 1619471265) is an individual pediatrics provider in Hackensack, New Jersey, licensed in New Jersey (25MA11214800) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619471265
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUMAIYA BEGUM ULLAHCredential: MD
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address46 Blauvelt Pl Unit BHackensack, NJ 07601-5213 · (313) 899-0036
Phone(551) 996-2000
Sole ProprietorYes
Enumeration DateMarch 20, 2018
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1619471265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA11214800
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30 PROSPECT AVE, Hackensack, NJ 07601
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sumaiya Begum Ullah Md 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 Sumaiya Ullah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 07601 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. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

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 Sumaiya Ullah's NPI number?

The NPI number for Sumaiya Ullah is 1619471265. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Sumaiya Ullah located?

Sumaiya Ullah practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.

What is Sumaiya Ullah's specialty?

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

Is Sumaiya Ullah enrolled in Medicare?

Yes. Sumaiya Ullah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sumaiya Ullah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumaiya Ullah reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Sumaiya Ullah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumaiya Ullah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sumaiya Ullah 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 Sumaiya Ullah was last updated on August 20, 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.