Individual provider Active NPI

Sabrina Lijo, PA-C

  • Surgical Physician Assistant
  • Summit, NJ
National Provider Identifier
1619648441
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
33 Overlook Rd Ste 305
Summit, NJ 07901-3563
Phone
(908) 376-1533
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NJ Primary

Addresses

Primary practice location

33 Overlook Rd Ste 305
Summit, NJ 07901-3563

Mailing address

1 Osage Dr
Cranford, NJ 07016-3323
Phone (908) 398-1621

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925001411 NJ Practitioner - Orthopedic Surgery 1759735715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi Martin Hullinger MD, PC CurrentSince Jun 13, 2023 Accepting new patients

Locations

1 Bay Ave
Ste 1
Montclair, NJ 07042
Phone (201) 402-7802

33 Overlook Rd
Ste 305
Summit, NJ 07901
Phone (908) 376-1525

Interoperability endpoints

  • Direct secure messaging: slijo557340@ahs.direct-ci.com

Organizations & group practices 1

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1619648441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OSAGE DR",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163323",
            "telephone_number": "908-398-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD STE 305",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-376-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIJO",
        "first_name": "SABRINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.