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Active NPI 1437120920 Individual Practitioner Male Practitioner

Dr. Sanjay Kumar , MD

Internal Medicine • Jackson, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Kumar, MD is a certified Internal Medicine practicing in Jackson, NJ. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Kumar delivers high-quality medical care to the local community at 2105 W COUNTY LINE RD.

Dr. Kumar maintains professional affiliations with Professional Associates Of Jackson Llc, Medical Office Force, Point Pleasant Medical Group Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2105 W County Line Rd

Jackson, NJ 085272301

Telephone 7323677575
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +1.6 yrs vs City Avg
City Avg: 34.4 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Jackson, NJ (4957 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
31.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (36 Years) 36 Yrs
Jackson Specialty Average (34.4 Years) 34.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
1,220 293 $124.90 $80.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
1,215 357 $100.00 $77.37
99213 Established patient office or other outpatient visit, typically 15 minutes
551 240 $125.00 $68.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
253 220 $250.59 $178.06
99239 Hospital discharge day management, more than 30 minutes
239 191 $175.00 $118.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
142 127 $175.00 $137.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
138 94 $150.00 $122.04
G0442 Annual alcohol misuse screening, 5 to 15 minutes
123 123 $28.15 $20.08
G0444 Annual depression screening, 5 to 15 minutes
110 110 $27.63 $20.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
99 99 $250.00 $60.88
G0008 Administration of influenza virus vaccine
95 95 $40.00 $34.22
90653 Vaccine for influenza for injection into muscle
74 74 $81.76 $74.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
63 54 $140.00 $93.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
48 43 $210.00 $134.46
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
43 14 $89.30 $51.83
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
42 13 $90.00 $51.34
99495 Transitional care management services for problem of at least moderate complexity
30 27 $225.00 $148.65
99315 Nursing facility discharge day management, 30 minutes or less
25 25 $100.00 $84.65
99306 Initial nursing facility visit, typically 45 minutes per day
22 22 $200.00 $187.61
99238 Hospital discharge day management, 30 minutes or less
21 21 $125.00 $84.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $200.00 $175.70

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA07446600

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Medical Office Force

35 Beaverson Blvd, Brick, NJ 087237860

Phone: 7062089700

Professional Associates Of Jackson Llc

2105 W County Line Rd, Jackson, NJ 085272301

Phone: 7323677575

Professional Associates Of Jackson Llc

1010 Beaver Dam Rd, Point Pleasant, NJ 087423866

Phone: 7328928493

Point Pleasant Medical Group Llc

1010 Beaver Dam Rd, Point Pleasant, NJ 087423866

Phone: 7328928493

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Mukesh Shah , MD

Internal Medicine

NPI 1801867395

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2013

Registered at 2105 W COUNTY LINE RD, JACKSON, NJ 085272301 (Tel: 7323677575)

📍
Updated Business Mailing Address January 28, 2013

Registered at 2105 W COUNTY LINE RD, JACKSON, NJ 085272301 (Tel: 7323677575)

👤
Provider Name / Credentials Updated January 28, 2013

Recorded as SANJAY KUMAR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2013

Internal Medicine (License #25MA07446600 in NJ)

🟢
Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437120920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: October 23, 2018
Sole Proprietor: No

Mailing Address

2105 W County Line Rd

Jackson, NJ 085272301

Phone: 7323677575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.