Individual provider Active NPI

Sarah Haller

  • Foot & Ankle Surgery Podiatrist
  • Des Plaines, IL
National Provider Identifier
1871910620
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00337800 Issued in NJ
Practice address
1455 E Golf Rd
Des Plaines, IL 60016-1250
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 016005736 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00337800 NJ Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 109125 WI

Addresses

Primary practice location

1455 E Golf Rd
Des Plaines, IL 60016-1250

Mailing address

500 Morris Ave
Ste 203
Springfield, NJ 07081-1020
Phone (973) 376-8210

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009000419 NJ Practitioner - Podiatry 4880989615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Essex Union Podiatry LLPGroup PAC ID 6901970904, 4 clinicians

Practice addresses (Care Compare)

308 Willow Ave
Hoboken, NJ 07030-3808

500 Morris Ave
Suite 203
Springfield, NJ 07081-1020
Phone (973) 376-8210

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue151
Removal of skin lesions64
Removal of nail tissue722
Removal or shaving of skin growth615
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005736ILMDPrimary Podiatric Medicine Podiatrist
109125WIMDPrimary Podiatric Medicine Podiatrist
25MD00337800NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Union Podiatry LLP Primary Podiatric Medicine CurrentSince Sep 1, 2017 Accepting new patients
Humc Opco LLC Current Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Oct 20, 2017 Accepting new patients
Essex Union Podiatry LLP Primary Podiatric Medicine CurrentSince Sep 1, 2017 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

376 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 226-2263

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

550 Newark Ave
Ste 102A
Jersey City, NJ 07306
Phone (332) 895-1728

175 High St
Newton, NJ 07860
Phone (973) 383-2121

1600 Saint Georges Ave
Ste 114
Rahway, NJ 07065
Phone (732) 388-2375

1600 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 388-2375

500 Morris Ave
Ste 118
Springfield, NJ 07081

500 Morris Ave
Ste 203
Springfield, NJ 07081
Phone (973) 376-8210

Interoperability endpoints

  • Direct secure messaging: sarah.haller@direct.hobokenumc.md

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1871910620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MORRIS AVE",
            "address_2": "STE 203",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811020",
            "telephone_number": "973-376-8210",
            "fax_number": "973-258-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016005736",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00337800",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "109125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.