SANDRA SAWALHI APN
NPI 1649042946
Nurse Practitioner in Clifton, NJ

Active since October 30, 2023PECOS EnrolledAccepts Medicare Assignment
1414 MAIN AVE, CLIFTON, NJ 07011(973) 902-9810 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandra Sawalhi Apn NPPES

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

SANDRA SAWALHI APN (NPI 1649042946) is an individual nurse practitioner in Clifton, New Jersey, licensed in New Jersey (26NJ14930900) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649042946
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDRA SAWALHICredential: APN
Location Address1414 MAIN AVEClifton, NJ 07011-2157
Mailing Address75 Goshen St Apt 308Paterson, NJ 07503-2253 · (973) 902-9810
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ NPI 1649042946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ14930900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1414 MAIN AVE, Clifton, NJ 07011

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Sawalhi Apn 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 ID3577084482
PECOS Enrollment IDI20250307002523
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 Sandra Sawalhi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
1414 MAIN AVE, SUITE B
Clifton, NJ 07011
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group

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 07011 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1414 MAIN AVE
CLIFTON, NJ 07011
Physician Assistant
1414 MAIN AVE
CLIFTON, NJ 07011
Psychiatry & Neurology (Psychiatry)
1414 MAIN AVE
CLIFTON, NJ 07011
Nurse Practitioner (Adult Health)
1414 MAIN AVE
CLIFTON, NJ 07011
Pharmacy (Community/Retail Pharmacy)
1414 MAIN AVE
CLIFTON, NJ 07011
Internal Medicine
1414 MAIN AVE
CLIFTON, NJ 07011
Pharmacist
1414 MAIN AVE
CLIFTON, NJ 07011
Clinic/Center (Primary Care)
1414 MAIN AVE, SUITE B
CLIFTON, NJ 07011

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 Sandra Sawalhi's NPI number?

The NPI number for Sandra Sawalhi is 1649042946. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Sandra Sawalhi located?

Sandra Sawalhi practices at 1414 Main Ave, Clifton, NJ 07011. The listed phone number is (973) 902-9810.

What is Sandra Sawalhi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sandra Sawalhi enrolled in Medicare?

Yes. Sandra Sawalhi 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.

Which organization bills Medicare for Sandra Sawalhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Sawalhi reassigns Medicare benefits to Internal Medicine And Geriatrics Practice, Inc (Clifton, 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 Sandra Sawalhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Sawalhi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sandra Sawalhi 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 Sandra Sawalhi was last updated on October 30, 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.