SARA HENEN MD
NPI 1710362512
Pediatrics - Pediatric Gastroenterology in Paterson, NJ
NPI Status: Active since July 22, 2015
Contact Information
703 MAIN ST
PATERSON, NJ
ZIP 07503
Phone: (973) 754-2504
- Individual
- Female
- Pediatrics
- Pediatric Gastroenterology
- Accepts Insurance
- PECOS Enrolled
About SARA HENEN
This page provides the complete NPI Profile along with additional information for Sara Henen, a pediatrician established in Paterson, New Jersey with a medical specialization in Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1710362512 assigned on July 2015. The practitioner's primary taxonomy code is 2080P0206X with license number 25MA12240100 (NJ). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1710362512
- Provider Name
- SARA HENEN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 703 MAIN ST PATERSON, NJ 07503
- Location Phone
- (973) 754-2504
- Mailing Address
- 703 MAIN ST PATERSON, NJ 07503
- Mailing Phone
- (973) 754-2504
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-22-2015
- Last Update Date
- 01-13-2025
- Code Navigator
A pediatrician like Sara Henen is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Gastroenterology
- Taxonomy Code
- 2080P0206X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA12240100
- License State
- NJ
- Taxonomy Description
- A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0206X | Allopathic & Osteopathic Physicians | Pediatrics | 2018031089 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite Saver Plus - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sara Henen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07503 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.86
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $36.21
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.57
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $27.89
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 6 | 2 | 5 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 6 | 4 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 6 + 4 + 5 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1710362512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ADEL M ZAUK M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
DENIS DILALLO M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
GREGORY E MENKEN M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
LINDA C SKROCE M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
ZARAH JANE PUA M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
ERIC S LESSER M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
LUIS C MARRERO M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
DR. WILLAIM J DEBRUIN M.D.
Pediatrics
(Pediatric Critical Care Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
BARBARA M COCOVINIS M.D.
Pediatrics
(Pediatric Critical Care Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
DIANE E MCCLURE CPNP
Nurse Practitioner
(Neonatal, Critical Care)
703 MAIN ST
PATERSON, NJ
ZIP 07503
NEONATAL ASSOCIATES, LLC
Specialist
703 MAIN ST
PATERSON, NJ
ZIP 07503
DR. DJOHAN KUSNAN MD
Specialist
703 MAIN ST
PATERSON, NJ
ZIP 07503
DR. RICARDO MIGUELINO MD
Specialist
703 MAIN ST
PATERSON, NJ
ZIP 07503
DR. GREGG SUMMERVILLE M.D.
Emergency Medicine
703 MAIN ST
PATERSON, NJ
ZIP 07503
TOTAL PAIN CARE, P.A.
Anesthesiology
(Pain Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
NEW JERSEY ANESTHESIA GROUP, P.A.
Anesthesiology
(Pain Medicine)
703 MAIN ST
PATERSON, NJ
ZIP 07503
BHANU ALURI-VALLABHANENI MD
Radiology
(Diagnostic Radiology)
703 MAIN ST
PATERSON, NJ
ZIP 07503
KALAVATHY BALAKUMAR MD
Radiology
(Diagnostic Radiology)
703 MAIN ST
PATERSON, NJ
ZIP 07503
MADELYN DANOFF MD
Specialist
703 MAIN ST
PATERSON, NJ
ZIP 07503
FRANK YUPPA MD
Radiology
(Neuroradiology)
703 MAIN ST
PATERSON, NJ
ZIP 07503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710362512, enumerated as an "individual" on July 22, 2015.
The provider is located at 703 MAIN ST PATERSON, NJ 07503 and the phone number is (973) 754-2504.
Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Oscar. Please consult your insurance carrier or call the provider to verify.
