Individual provider Active NPI

Paige Mercedes Sumbaly, CPNP-PC

  • Pediatric Nurse Practitioner
  • East Brunswick, NJ
National Provider Identifier
1417628199
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ01202600 Issued in NJ
Practice address
7 Albemarle Rd
East Brunswick, NJ 08816-4214
Phone
(732) 322-0364
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ01202600 NJ Primary

Addresses

Primary practice location

7 Albemarle Rd
East Brunswick, NJ 08816-4214

Mailing address

7 Albemarle Rd
East Brunswick, NJ 08816-4214
Phone (732) 322-0364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922003940 NJ Practitioner - Nurse Practitioner 2062897267 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01202600NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jan 8, 2024 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jan 8, 2024 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
St Josephs Medical Group PC CurrentSince Jul 6, 2022 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Past Accepting new patients

Locations

760 Amboy Ave
Ste 102
Edison, NJ 08837
Phone (732) 235-7821

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

125 Paterson St
Ste 3300
New Brunswick, NJ 08901
Phone (732) 235-7821

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

30 W Century Rd
Paramus, NJ 07652
Phone (201) 261-2000

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

11 Getty Ave
Paterson, NJ 07503

11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200

Interoperability endpoints

  • Direct secure messaging: psumbaly358726@epicdirect.rwjbh.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1417628199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALBEMARLE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164214",
            "telephone_number": "732-322-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALBEMARLE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164214",
            "telephone_number": "732-322-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMBALY",
        "first_name": "PAIGE",
        "middle_name": "MERCEDES",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ01202600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.