MRS. SARA JANE WALLACE PA
NPI 1619993334
Physician Assistant - Medical in New Haven, CT

Q: What is Sara Wallace's NPI number?

The NPI number for Sara Wallace is 1619993334. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Sara Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Sara Wallace 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.

Active since July 14, 2006PECOS Enrolled

1450 CHAPEL ST, NEW HAVEN, CT 06511(203) 789-3000 Get Directions Write a Review

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

On this page

About Mrs. Sara Jane Wallace Pa NPPES

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

MRS. SARA JANE WALLACE PA (NPI 1619993334) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (001693) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619993334

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. SARA JANE WALLACECredential: PA

Location Address1450 CHAPEL STNew Haven, CT 06511-4405

Mailing Address512 Scenic RdOrange, CT 06477-2127

Phone(203) 789-3000

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619993334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 001693

1450 CHAPEL ST, New Haven, CT 06511

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Other Identifiers 1

Medicare UPINQ58706CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sara Jane Wallace Pa 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.

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.

ARTHUR H KNOWLTON MD

Radiology (Therapeutic Radiology)

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3131

CAROLA MARTE MD

Internal Medicine

1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-4135

CHARLES WILLIAM JONES JR. PHARMD, BCPS

Pharmacist (Pharmacotherapy)

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-6267

ANDREA LOWE PAC

Physician Assistant

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3464

KATHERINE ADAMS

Speech-Language Pathologist

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (475) 246-6982

J E FREDRIK ZETTERBERG MD

Radiology (Diagnostic Radiology)

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3124

SARAH ROSE ROCKS PA

Physician Assistant (Medical)

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 680-6185

DR. JULIE ROTHSTEIN ROSENBAUM MD

Internal Medicine

1450 CHAPEL ST, ADULT PRIMARY CARE CENTER
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-4044

MR. TAE PARK PHARM.D.

Pharmacist

1450 CHAPEL ST, PHARMACY DEPARTMENT
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-6095

FELIPE LOPEZ GONZALEZ M.D.

Internal Medicine (Critical Care Medicine)

1450 CHAPEL ST, PRIVATE 207
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3034

KIMBERLY ANN REILLY PT, DPT

Physical Therapist

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3441

PATRICIA M CAMUTO MD

Pathology (Anatomic Pathology & Clinical Pathology)

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3088

ALESSANDRA CAPOBIANCO M.D.

Internal Medicine (Geriatric Medicine)

1450 CHAPEL ST, NEMG - YNH GERIATRIC SERVICES
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 688-8200

HILARY BARTHOLOMAY

Nurse Practitioner

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 915-4301

DR. CHRISNEL JEAN DO

Emergency Medicine

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 535-8442

DR. COSTIN NICOLAE IONESCU M.D. PH.D

Internal Medicine (Cardiovascular Disease)

1450 CHAPEL ST, PVT 202
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-6045

DR. RUPERT DOGBEY MBCHB

Hospitalist

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3034

DR. PHILIP BUTLER M.D.

Student in an Organized Health Care Education/Training Program

1450 CHAPEL ST, HOSPITAL OF SAINT RAPHAEL
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3000

SAINT RAPHAEL HEALTHCARE SYSTEM AFFILIATED PHYSICIANS INC

Psychiatry & Neurology (Neurology)

1450 CHAPEL ST
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-5946

MR. ANDRES F ARTEAGA LCSW

Social Worker (Clinical)

1450 CHAPEL ST, CHILDREN'S PSYCHIATRIC EMERGENCY SERVICE, CELENTANO 5
NEW HAVEN, CT 06511

South Central Connecticut Planning Region (203) 789-3240

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 Sara Wallace's NPI number?

The NPI number for Sara Wallace is 1619993334. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Sara Wallace located?

Sara Wallace practices at 1450 Chapel St, New Haven, CT 06511. The listed phone number is (203) 789-3000.

What is Sara Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sara Wallace enrolled in Medicare?

Yes. Sara Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Wallace 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.