Active NPI
Sara Branco, PA-C
- Physician Assistant
- Phillipsburg, NJ
National Provider Identifier
1215494661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 185 Roseberry St
Phillipsburg, NJ 08865-1690 - Phone
- (908) 847-0514
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
185 Roseberry St
Phillipsburg, NJ 08865-1690
Mailing address
208 Hogan CT
Asbury, NJ 08802-1197
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400215186 | Other | NY | MEDICARE APS |
| 25MP00508200 | Other | NJ STATE LICENSE | |
| 022911 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1215494661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 HOGAN CT",
"city": "ASBURY",
"state": "NJ",
"postal_code": "088021197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 ROSEBERRY ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651690",
"telephone_number": "908-847-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCO",
"first_name": "SARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE APS",
"identifier": "A400215186",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE",
"identifier": "25MP00508200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "022911",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.