Active NPI
Sadie Mae Grau
- Physician Assistant
- Sussex, NJ
National Provider Identifier
1417839689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 89 Layton Rd
Sussex, NJ 07461-3311 - Phone
- (973) 534-1589
- NPI assigned
- Jul 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
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
89 Layton Rd
Sussex, NJ 07461-3311
Mailing address
89 Layton Rd
Sussex, NJ 07461-3311
Phone (973) 534-1589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1417839689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 LAYTON RD",
"city": "SUSSEX",
"state": "NJ",
"postal_code": "074613311",
"telephone_number": "973-534-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 LAYTON RD",
"city": "SUSSEX",
"state": "NJ",
"postal_code": "074613311",
"telephone_number": "973-534-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAU",
"first_name": "SADIE",
"middle_name": "MAE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sussex, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.