CARLOS SACRISTAN M.D.
NPI 1811971229
General Practice in Passaic, NJ

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
17-19 HOWE AVE, PASSAIC, NJ 07055(973) 473-4399(973) 473-3039 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos Sacristan M.d. NPPES

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

CARLOS SACRISTAN M.D. (NPI 1811971229) is an individual general practice provider in Passaic, New Jersey, licensed in New Jersey (MA61947) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1811971229
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCARLOS SACRISTANCredential: M.D.
Location Address17-19 HOWE AVEPassaic, NJ 07055-4017
Mailing Address17-19 Howe Ave, P.o. Box 327Passaic, NJ 07055-4017 · (973) 473-4399 · Fax (973) 473-4430
Fax(973) 473-3039
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 30, 2005
Last NPPES UpdateDecember 30, 2010
NPI 1811971229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NJ · MA61947
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
17-19 HOWE AVE, Passaic, NJ 07055

Other Identifiers 3

Medicare ID-Type Unspecified024419NJ
Medicaid7255306NJ
Medicare UPING87706NJ

Accepted Insurance

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

Carlos Sacristan M.d. 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 ID2961689419
PECOS Enrollment IDI20110609000186
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
13 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310006
Location350 BoulevardPassaic, NJ 07055 · Passaic County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims22 services$6.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

General Practice
17-19 HOWE AVE
PASSAIC, NJ 07055

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 Carlos Sacristan's NPI number?

The NPI number for Carlos Sacristan is 1811971229. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Carlos Sacristan located?

Carlos Sacristan practices at 17-19 Howe Ave, Passaic, NJ 07055. The listed phone number is (973) 473-4399.

What is Carlos Sacristan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carlos Sacristan enrolled in Medicare?

Yes. Carlos Sacristan 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.

What insurance does Carlos Sacristan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carlos Sacristan 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.

Is Carlos Sacristan affiliated with any hospitals?

According to CMS data, Carlos Sacristan is affiliated with St Mary's General Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Sacristan was last updated on December 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.