Active NPI
Sara Nusinovic
- Dermatology Physician
- Sugarloaf, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- SC007075
- Practice address
- 8 Brookhill Square South
Sugarloaf, PA 18249-1824 - Phone
- (570) 459-0029
- Fax
- (570) 454-5757
- NPI assigned
- May 2, 2017
- Last updated
- Jun 11, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | SC007075 | PA | Primary |
| Podiatrist | 213E00000X | 0103301349 | VA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC007075 | PA |
Addresses
Primary practice location
8 Brookhill Square South
Sugarloaf, PA 18249-1824
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Other practice location 1
5325 Northgate Drive
Ste 205
Bethlehem, PA 18017-9416
Phone (610) 936-8050
Other practice location 2
1310 Route 209
Ste 105
Gilbert, PA 18331-7751
Phone (570) 664-6220
Other practice location 3
3812 Market Street
Camp Hill, PA 17011
Phone (717) 869-0928
Other practice location 4
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9000
Other practice location 5
940 Century Drive
Ste A
Mechanicsburg, PA 17055-4376
Phone (717) 458-5407
Other practice location 6
38 Keystone Court
Leola, PA 17540-2207
Phone (717) 869-0919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10701 Main St
Fairfax, VA 22030-6904
Phone (212) 764-0008
831 E Ellerslie Ave
Colonial Heights, VA 23834-1720
Phone (212) 764-0008
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 745 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Podiatry PLLC | Podiatrist | Current | Accepting new patients |
| Eastern Podiatry PLLC | Podiatrist | Current | Accepting new patients |
| Pedirite Medical VA PLLC | Current | Accepting new patients | |
| Pedirite Medical PA PLLC | Podiatrist | Current | Accepting new patients |
| Hillside Foot and Ankle Associates LLC | Podiatrist | Past | Accepting new patients |
Locations
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005
10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705
1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816
831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Lynchburg, VA
- NPI 1598421422
-
- Foot & Ankle Surgery Podiatrist
- Mechanicsville, VA
- NPI 1437906591
-
- General Practice Physician
- Baltimore, MD
- NPI 1841809613
-
- Podiatrist
- Lynnwood, WA
- NPI 1104692219
-
- Foot & Ankle Surgery Podiatrist
- Hanover, PA
- NPI 1205351939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1366978983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BROOKHILL SQUARE SOUTH",
"city": "SUGARLOAF",
"state": "PA",
"postal_code": "182491824",
"telephone_number": "570-459-0029",
"fax_number": "570-454-5757"
}
],
"practiceLocations": [
{
"address_1": "5325 Northgate Drive",
"address_2": "Ste 205",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180179416",
"country_code": "US",
"telephone_number": "610-936-8050",
"fax_number": "610-936-8051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1310 Route 209",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "PA",
"postal_code": "183317751",
"country_code": "US",
"telephone_number": "570-664-6220",
"fax_number": "570-664-6211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3812 Market Street",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "17011",
"country_code": "US",
"telephone_number": "717-869-0928",
"fax_number": "717-296-8868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W Belvedere Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212155216",
"country_code": "US",
"telephone_number": "410-601-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "940 Century Drive",
"address_2": "Ste A",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170554376",
"country_code": "US",
"telephone_number": "717-458-5407",
"fax_number": "717-620-8298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "38 Keystone Court",
"address_purpose": "LOCATION",
"city": "Leola",
"state": "PA",
"postal_code": "175402207",
"country_code": "US",
"telephone_number": "717-869-0919",
"fax_number": "717-869-0929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUSINOVIC",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "SC007075",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103301349",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC007075",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugarloaf, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.