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MARIA JUSTINE BIROTTE SANCHEZ M.D.
NPI 1841326162
Family Medicine in North Plainfield, NJ

Active since February 23, 2007PECOS Enrolled
43-45 PEARL ST., NORTH PLAINFIELD, NJ 07060(908) 822-9700(908) 822-9701 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Nov 1, 2019, Nov 25, 2015 (3 updates tracked since 2015).

About Maria Justine Birotte Sanchez M.d. NPPES

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

MARIA JUSTINE BIROTTE SANCHEZ M.D. (NPI 1841326162) is an individual family medicine provider in North Plainfield, New Jersey, licensed in New Jersey (25MA08080400) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1841326162
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIA JUSTINE BIROTTE SANCHEZCredential: M.D.
Location Address43-45 PEARL ST.North Plainfield, NJ 07060
Mailing Address43-45 Pearl St.North Plainfield, NJ 07060-1120 · (908) 822-9700 · Fax (908) 822-9701
Phone(908) 822-9700
Fax(908) 822-9701
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1841326162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA08080400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
43-45 PEARL ST., North Plainfield, NJ 07060
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Other Identifiers 1

Medicaid0139963NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Justine Birotte Sanchez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305975467
PECOS Enrollment IDI20100527000647
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 Reassignments

2

Medicare enrollment records show Maria Birotte Sanchez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faith Family Health Care Professional Corp.
Same address
Health Service
43-45 PEARL STREET
North Plainfield, NJ 07060
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1093041030 (908) 822-9700
Ortega Telemedicine LLC
11 mi
Internal Medicine
474 AMBOY AVE LOWR LEVEL
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1295561017 (732) 498-0111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
117 services43 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.
48 services25 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.
30 services30 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
29 services17 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07060 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers30 claims57 services$6.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims17 services$1.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Maria Birotte Sanchez's NPI number?

The NPI number for Maria Birotte Sanchez is 1841326162. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Maria Birotte Sanchez located?

Maria Birotte Sanchez practices at 43-45 Pearl St., North Plainfield, NJ 07060. The listed phone number is (908) 822-9700.

What is Maria Birotte Sanchez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Birotte Sanchez enrolled in Medicare?

Yes. Maria Birotte Sanchez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maria Birotte Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Birotte Sanchez reassigns Medicare benefits to 2 organizations: Faith Family Health Care Professional Corp. (North Plainfield, NJ) and Ortega Telemedicine LLC (Perth Amboy, NJ). Each 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 Maria Birotte Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Birotte Sanchez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Maria Birotte Sanchez 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 Maria Birotte Sanchez was last updated on August 23, 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.