Healthcare Provider Details

I. General information

NPI: 1427014182
Provider Name (Legal Business Name): SARAH STUART SCHAEFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S ORANGE AVE
LIVINGSTON NJ
07039-5817
US

IV. Provider business mailing address

200 S ORANGE AVE
LIVINGSTON NJ
07039-5817
US

V. Phone/Fax

Practice location:
  • Phone: 973-322-7020
  • Fax: 973-322-7037
Mailing address:
  • Phone: 973-322-7020
  • Fax: 973-322-7037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA06300600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number25MA06300600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: