Individual provider Active NPI

Paul William Sauers, DO, LACC

  • Cardiovascular Disease Physician
  • Carneys Point, NJ
National Provider Identifier
1649272071
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB2592900 Issued in NJ
Practice address
298 Bianca Ave
Carneys Point, NJ 08069-2633
Phone
(856) 299-0002
Fax
(856) 299-6169
NPI assigned
Aug 15, 2005
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MB2592900 NJ Primary

Addresses

Primary practice location

298 Bianca Ave
Carneys Point, NJ 08069-2633

Mailing address

298 Bianca Ave
Carneys Point, NJ 08069-2633
Phone (856) 299-0002

Other identifiers 9

IdentifierTypeStateIssuer
445113645OtherRAILROAD MEDICARE
19214800OtherFEDERAL BLACK LUNG
0085053000OtherNJAMERIHEALTH
1462401OtherMINE WORKERS
3035107MedicaidNJ
156634OtherBLUE SHIELD OF PA
222360942OtherFEDERAL TAX ID
SA0000029-02OtherAMERICHOICE
33927OtherAETNA

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB2592900NJMDCardiovascular Disease Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1649272071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 BIANCA AVE",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692633",
            "telephone_number": "856-299-0002",
            "fax_number": "856-299-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 BIANCA AVE",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692633",
            "telephone_number": "856-299-0002",
            "fax_number": "856-299-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUERS",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "DO, LACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB2592900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "445113645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "19214800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0085053000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINE WORKERS",
            "identifier": "1462401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035107",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF PA",
            "identifier": "156634",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "222360942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "SA0000029-02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "33927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carneys Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.