SARA SHAMA RD
NPI 1861553638
Dietitian, Registered in Piscataway, NJ

NPI Status: Active since December 13, 2006

Contact Information

24 STELTON RD
PISCATAWAY, NJ
ZIP 08854
Phone: (732) 395-1282
Fax: (732) 658-6392

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  • Individual
  • Female
  • Years of Experience 21
  • Dietitian, Registered
  • Accepts Medicare Approved Payment

About SARA SHAMA

This page provides the complete NPI Profile along with additional information for Sara Shama, a provider established in Piscataway, New Jersey with a medical specialization in Dietitian, Registered and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1861553638 assigned on December 2006. The practitioner's primary taxonomy code is 133V00000X with license number 954704 (NJ). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1861553638
Provider Name
SARA SHAMA RD
Other Name
SARA HALIM
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
24 STELTON RD PISCATAWAY, NJ 08854
Location Phone
(732) 395-1282
Location Fax
(732) 658-6392
Mailing Address
24 STELTON RD PISCATAWAY, NJ 08854
Mailing Phone
(732) 395-1282
Mailing Fax
(732) 658-6392
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
12-13-2006
Last Update Date
06-23-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
954704
License State
NJ
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2634157OTHER (01)NJUNITED HEALTHCARE
7654551OTHER (01)NJAETNA
P3699965OTHER (01)NJOXFORD
P3686480OTHER (01)NJOXFORD
200397267OTHER (01)NJHORIZON BCBS-NJ
200397267OTHER (01)NJCIGNA

Medicare Participation & PECOS Enrollment Status

Sara Shama is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5991803538

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070606000229

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $27.89 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08854 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.57
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $27.89
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for SARA SHAMA RD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861553638
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121105666
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 0 + 5 + 6 + 6 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1861553638 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831492909PISCATAWAY DUNELLEN FAMILY PRACTICE
Organization
Family Medicine24 STELTON RD SUITE A
PISCATAWAY, NJ 08854
(732) 424-0440
1497741581DR. MARLAN K SCHWARTZ M.D.
Individual
Obstetrics & Gynecology24 STELTON RD
PISCATAWAY, NJ 08854
(732) 968-4444
1164735882SHS NUTRITION, LLC
Organization
Dietitian, Registered24 STELTON RD
PISCATAWAY, NJ 08854
(732) 395-1282
1891734471 DOUGLAS RUSSELL KROHN MD
Individual
Family Medicine24 STELTON RD STE A
PISCATAWAY, NJ 08854
(732) 424-0440
1124618988 NATALIA BENSON RDN
Individual
Dietitian, Registered24 STELTON RD
PISCATAWAY, NJ 08854
(732) 395-1282
1629739248 CLAUDIA GONZALEZ RDN
Individual
Dietitian, Registered24 STELTON RD
PISCATAWAY, NJ 08854
(732) 359-1282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861553638, enumerated in the NPI registry as an "individual" on December 13, 2006

The provider is located at 24 Stelton Rd Piscataway, Nj 08854 and the phone number is (732) 395-1282

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

The provider has more than 21 years of experience.

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Oxford Health Plans,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $111.57 and an average copayment of 27.89. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.