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MARCONI CHU-CHU SACKOR
NPI 1629781000
Nurse Practitioner - Psychiatric/Mental Health in Clayton, NJ

Active since January 02, 2023PECOS EnrolledAccepts Medicare Assignment
713 S BROAD ST, CLAYTON, NJ 08312(443) 740-1672 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marconi Chu-chu Sackor NPPES

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

MARCONI CHU-CHU SACKOR (NPI 1629781000) is an individual psychiatric/mental health provider in Clayton, New Jersey, licensed in New Jersey (26NJ01407100) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629781000
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARCONI CHU-CHU SACKOR
Location Address713 S BROAD STClayton, NJ 08312-2131
Mailing Address713 S Broad StClayton, NJ 08312-2131 · (443) 740-1672
Phone(443) 740-1672
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 2, 2023
NPPES CertifiedDecember 31, 2022
✔ NPI 1629781000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01407100
713 S BROAD ST, Clayton, NJ 08312
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marconi Chu-chu Sackor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375990625
PECOS Enrollment IDI20231108003441
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 08312 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 Marconi Sackor's NPI number?

The NPI number for Marconi Sackor is 1629781000. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Marconi Sackor located?

Marconi Sackor practices at 713 S Broad St, Clayton, NJ 08312. The listed phone number is (443) 740-1672.

What is Marconi Sackor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marconi Sackor enrolled in Medicare?

Yes. Marconi Sackor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marconi Sackor was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.