SUMBAL AUGUSTINE PAUL FNP
NPI 1669169256
Nurse Practitioner - Family in Elmhurst, NY

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment
8831 55TH AVE STE 201, ELMHURST, NY 11373(718) 899-6600(718) 606-3881 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sumbal Augustine Paul Fnp NPPES

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

SUMBAL AUGUSTINE PAUL FNP (NPI 1669169256) is an individual family provider in Elmhurst, New York, licensed in New York (F351325) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jamaica, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669169256
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUMBAL AUGUSTINE PAULCredential: FNP
Location Address8831 55TH AVE STE 201Elmhurst, NY 11373-5293
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Fax(718) 606-3881
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 24, 2023
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1669169256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F351325
8831 55TH AVE STE 201, Elmhurst, NY 11373

Secondary Practice Location 1

Location 1180-05 Hillside AveJamaica, NY 11432-4727 · Phone (718) 526-6300 · Fax (718) 286-3863

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

Sumbal Augustine Paul Fnp 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 ID2062862782
PECOS Enrollment IDI20231221000977
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 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 13

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

Internal Medicine (Cardiovascular Disease)
8831 55TH AVE STE 201
ELMHURST, NY 11373
Pediatrics
8831 55TH AVE STE 201
ELMHURST, NY 11373
Podiatrist
8831 55TH AVE STE 201
ELMHURST, NY 11373
Family Medicine
8831 55TH AVE STE 201
ELMHURST, NY 11373
Ophthalmology
8831 55TH AVE STE 201
ELMHURST, NY 11373
Ophthalmology
8831 55TH AVE STE 201
ELMHURST, NY 11373
Nurse Practitioner (Family)
8831 55TH AVE STE 201
ELMHURST, NY 11373
Pediatrics
8831 55TH AVE STE 201
ELMHURST, NY 11373

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 Sumbal Paul's NPI number?

The NPI number for Sumbal Paul is 1669169256. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Sumbal Paul located?

Sumbal Paul practices at 8831 55th Ave Ste 201, Elmhurst, NY 11373. The listed phone number is (718) 899-6600.

What is Sumbal Paul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sumbal Paul enrolled in Medicare?

Yes. Sumbal Paul 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 Sumbal Paul was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.