Active NPI 1790854735 Individual Practitioner Male Practitioner

Dr. Prashant Sinha , MD

Surgery • Newark, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Sinha, MD is a certified Surgery practicing in Newark, NJ. With approximately 24 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 2002, Dr. Sinha delivers high-quality medical care to the local community at 201 LYONS AVE # F4.

Dr. Sinha is affiliated with Barnabas Health Medical Group Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

201 Lyons Ave # F4

Newark, NJ 071122027

Telephone 9739266217

Fax 9739262997

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Newark, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +8.2 yrs vs City Avg

City Avg: 15.8 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

28 Specialists

Practicing in Newark, NJ (815 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinha (24 Years) 24 Yrs

Newark Specialty Average (15.8 Years) 15.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$494.00	$91.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$917.00	$194.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$494.00	$100.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$689.00	$139.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	23	$705.56	$118.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	19	$465.96	$80.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$1380.20	$229.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	76	64	$683.36	$118.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$1320.75	$230.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$986.11	$198.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$700.00	$157.47
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$375.00	$108.23
49650 Repair of groin hernia using an endoscope	13	13	$4093.46	$594.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$507.15	$82.82
99238 Hospital discharge day management, 30 minutes or less	11	11	$370.00	$83.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$550.00	$153.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	50	$530.00	$123.34
99238 Hospital discharge day management, 30 minutes or less	30	28	$370.00	$86.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	23	$365.00	$85.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$1035.00	$239.63
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$525.00	$123.03
99291 Critical care, first 30-74 minutes	12	12	$1415.00	$268.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$850.00	$199.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$570.00	$193.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$250.00	$83.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	15	$355.00	$116.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$690.00	$226.67

Medical Specialties & State Licenses

CMS Verified: 2026-01-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA08530800

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Barnabas Health Medical Group Pc

201 Lyons Ave, Newark, NJ 071122027

Phone: 9734679282

Practice Associates & Co-Workers

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

4 Associated Practitioners

Elizabeth Jehle , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1124553862

CPNPPC

Sukriti Bansal

Surgery

NPI 1588197883

Ahmed Abdelmonem , PA-C

Neurological Surgery

NPI 1871154682

Physician Assistant (Certified)

Dr. Khalid Tabbarah , MD

Psychiatry & Neurology - Neurology

NPI 1962524975

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location January 08, 2026

Registered at 201 LYONS AVE # F4, NEWARK, NJ 071122027 (Tel: 9739266217)

📍

Updated Business Mailing Address January 08, 2026

Registered at 201 LYONS AVE # F4, NEWARK, NJ 071122027 (Tel: 9739266217)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2026

Surgery (License #25MA08530800 in NJ)

📍

Updated Practice Location April 02, 2021

Registered at 530 1ST AVE STE 6C, NEW YORK, NY 100166402 (Tel: 2122637302)

✅

NPI Profile Active January 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2012

Registered at 462 1ST AVE, NBV 15 S - 5, NEW YORK, NY 100169196 (Tel: 2122636509)

📍

Updated Business Mailing Address January 06, 2012

Registered at 462 1ST AVE, NBV 15 S - 5, NEW YORK, NY 100169196 (Tel: 2122636509)

👤

Provider Name / Credentials Updated January 06, 2012

Recorded as PRASHANT SINHA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2012

Surgery (License #233639 in NY)

🟢

Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Prashant Sinha. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790854735

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 06, 2006

Last Update: January 08, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 Lyons Ave # F4

Newark, NJ 071122027

Phone: 9739266217

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.