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DR. SEVERIANO FAJARDO SANJUAN JR. M.D.
NPI 1891701595
Pediatrics in Maplewood, NJ

Active since August 01, 2006PECOS Enrolled
2040 MILLBURN AVE, SUITE 302, MAPLEWOOD, NJ 07040(973) 762-0035(973) 762-0402 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Severiano Fajardo Sanjuan Jr. M.d. NPPES

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

DR. SEVERIANO FAJARDO SANJUAN JR. M.D. (NPI 1891701595) is an individual pediatrics provider in Maplewood, New Jersey, licensed in New Jersey (MA34053) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891701595
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SEVERIANO FAJARDO SANJUAN JR.Credential: M.D.
Location Address2040 MILLBURN AVE, SUITE 302Maplewood, NJ 07040-3726
Mailing Address2040 Millburn Ave, Suite 302Maplewood, NJ 07040-3726 · (973) 762-0035 · Fax (973) 762-0402
Phone(973) 762-0035
Fax(973) 762-0402
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 12, 2014
✔ NPI 1891701595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA34053
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2040 MILLBURN AVE, Maplewood, NJ 07040
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Other Identifiers 2

Medicare UPIND06346NJ
Medicaid1755901NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Severiano Fajardo Sanjuan Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Severiano Sanjuan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Of Newark
3.7 mi
Federally Qualified Health Center (FQHC)
701 SOUTH ORANGE AVENUE
Newark, NJ 07106
  • Reassigned Medicare billing, New Jersey enrollment
  • 24 clinicians in this Medicare group
NPI 1972206258 (800) 734-7083

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 07040 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 20

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

JASMINE SOWAH
Social Worker
2040 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (732) 639-0232
DR. ANGELO CECE D.M.D.
Dentist (General Practice)
2040 MILLBURN AVE, SUITE 105
MAPLEWOOD, NJ 07040
Essex County (973) 275-0700
DR. SAMUEL T DUNCAN M.D.
Ophthalmology
2040 MILLBURN AVE, SUITE 303
MAPLEWOOD, NJ 07040
Essex County (973) 762-4996
DR. OMAR M. BEY M.D.
Specialist
2040 MILLBURN AVE, 403
MAPLEWOOD, NJ 07040
Essex County (973) 761-6761
DAVID ANDREW MCNAUGHT
Physical Therapist
2040 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (862) 800-6080
LAURA J DAVIS LCSW
Social Worker (Clinical)
2040 MILLBURN AVE, SUITE 205
MAPLEWOOD, NJ 07040
Essex County (973) 205-4875
KING DAVE HOME CARE LLC
In Home Supportive Care
2040 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (855) 546-6698
AIDA OB GYN ASSOCIATES CORPORATION
Specialist
2040 MILLBURN AVE, SUITE 401
MAPLEWOOD, NJ 07040
Essex County (973) 378-3111

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 Severiano Sanjuan's NPI number?

The NPI number for Severiano Sanjuan is 1891701595. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Severiano Sanjuan located?

Severiano Sanjuan practices at 2040 Millburn Ave Suite 302, Maplewood, NJ 07040. The listed phone number is (973) 762-0035.

What is Severiano Sanjuan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Severiano Sanjuan enrolled in Medicare?

Yes. Severiano Sanjuan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Severiano Sanjuan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Severiano Sanjuan reassigns Medicare benefits to City Of Newark (Newark, 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 Severiano Sanjuan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Severiano Sanjuan was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.