Individual provider Active NPI

Sara Nicole Pagliaro, DO

  • Family Medicine Physician
  • Blue Bell, PA
National Provider Identifier
1679770077
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS026018 Issued in PA
Practice address
1787 Sentry Pkwy W Ste 400
Blue Bell, PA 19422-2240
Phone
(215) 542-3000
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS026018 PA Primary

Addresses

Primary practice location

1787 Sentry Pkwy W Ste 400
Blue Bell, PA 19422-2240

Mailing address

1787 Sentry Pkwy W Ste 400
Blue Bell, PA 19422-2240
Phone (215) 542-3000

Other identifiers 1

IdentifierTypeStateIssuer
0203441MedicaidNJ

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
I20090903000256 NJ Practitioner - Hospice/Palliative CarePractitioner - Family Practice 9638224223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS026018PAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Healthcare & Hospice, Inc. Hospice and Palliative Medicine CurrentSince Aug 13, 2012 Accepting new patients
Rowansom Dept of Pediatrics Past Accepting new patients

Locations

5 Eves Dr
Ste 300
Marlton, NJ 08053
Phone (856) 596-1600

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

3906 Church Rd
#P
Mount Laurel, NJ 08054
Phone (856) 552-3261

Organizations & group practices 2

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1679770077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 SENTRY PKWY W STE 400",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222240",
            "telephone_number": "215-542-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 SENTRY PKWY W STE 400",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222240",
            "telephone_number": "215-542-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIARO",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS026018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203441",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.