Individual provider Active NPI

Sara Liliana Gualtieri, MD

  • Internal Medicine Physician
  • Linwood, NJ
National Provider Identifier
1902839509
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07665600 Issued in NJ
Practice address
1 Wexford LN
Linwood, NJ 08221-1383
Phone
(609) 927-6989
NPI assigned
Jul 8, 2006
Last updated
Nov 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA07665600 NJ Primary

Addresses

Primary practice location

1 Wexford LN
Linwood, NJ 08221-1383

Mailing address

1 Wexford LN
Linwood, NJ 08221-1383
Phone (609) 927-6989

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
I20251204003182 NJ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5496740318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07665600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Family Medicine Ass Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sgualtier87033@ehrdirect.uhhospitals.org

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1902839509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEXFORD LN",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211383",
            "telephone_number": "609-927-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEXFORD LN",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211383",
            "telephone_number": "609-927-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALTIERI",
        "first_name": "SARA",
        "middle_name": "LILIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07665600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.