Sara N Atalla, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB08871200 Issued in NJ

Practice address

42 N Mountain Ave
Montclair, NJ 07042-2318

Phone

(973) 783-9400

NPI assigned

Jul 9, 2008

Last updated

Jun 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Atalla Medical LLC

  • Physical Medicine & Rehabilitation Physician
  • Montclair, NJ
  • NPI 1659931772
  Medicare reassignment NPD Authorized official
• Waterfront Institute for Spine and Joint Rehabilitation

  • General Practice Physician
  • Edgewater, NJ
  • NPI 1700944147
  NPD
• Gary J. Stadtmauer, MD PLLC

  • Allergy Physician
  • New York, NY
  • NPI 1538281712
  NPD (past)
• NTCF LLC

  dba Neuropathy Treatment Center

  • Physical Medicine & Rehabilitation Physician
  • St Petersburg, FL
  • NPI 1760753628
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1831352848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121453",
            "telephone_number": "973-317-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MOUNTAIN AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422318",
            "telephone_number": "973-783-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLA",
        "first_name": "SARA",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08871200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Ashlee, LCSW
• Willard Walden Christopher Ashley Sr., SCP, NCPSYA
• Zachary L Ashley, LCSW
• Shaun Astorga
• Atalla Medical LLC
• Attuned Connections Therapy Group LLC
• Attuned Neurofeedback and Psychotherapy of New Jersey
• Noreen Augustus-Cole
• Kathleen Aveno, LPC
• Peter Avery, PHD

• Physical Medicine & Rehabilitation Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.