Healthcare Provider Details

I. General information

NPI: 1114422615
Provider Name (Legal Business Name): SARAH ROGAL MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

331 NEWMAN SPRINGS RD BLDG. 2, SUITE 220
RED BANK NJ
07701-5792
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-4000
  • Fax:
Mailing address:
  • Phone: 732-807-0877
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License NumberMD210001969
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number25MA12885900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: