Paige Mercedes Sumbaly, CPNP-PC - Medicare Nurse Practitioner in East Brunswick, NJ

Paige Mercedes Sumbaly, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in East Brunswick, New Jersey. Her current practice location is 7 Albemarle Rd, East Brunswick, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 322-0364.

Paige Mercedes Sumbaly is licensed to practice in New Jersey (license number 26NJ01202600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417628199.

Contact Information

Paige Mercedes Sumbaly, CPNP-PC
7 Albemarle Rd,
East Brunswick, NJ 08816-4214
(732) 322-0364
Not Available

Map and Direction




Provider's Profile

Full NamePaige Mercedes Sumbaly
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location7 Albemarle Rd, East Brunswick, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417628199
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062897267
  • Enrollment ID: I20220922003940

Medical Identifiers

Medical identifiers for Paige Mercedes Sumbaly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417628199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 26NJ01202600 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paige Mercedes Sumbaly allows following entities to bill medicare on her behalf.
Entity NameRutgers Health-rwj Neurosurgery Faculty
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083738637
PECOS PAC ID: 4587613443
Enrollment ID: O20050118000611
Entity NameSt Josephs Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205425519
PECOS PAC ID: 8628470325
Enrollment ID: O20210716000520

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paige Mercedes Sumbaly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paige Mercedes Sumbaly, CPNP-PC
7 Albemarle Rd,
East Brunswick, NJ 08816-4214

Ph: (732) 322-0364
Paige Mercedes Sumbaly, CPNP-PC
7 Albemarle Rd,
East Brunswick, NJ 08816-4214

Ph: (732) 322-0364

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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