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Active NPI 1295797256 Individual Practitioner Male Practitioner

Dr. Sanjay Lalla , MD

Plastic Surgery • West Orange, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Lalla, MD is a certified Plastic Surgery practicing in West Orange, NJ. With approximately 35 years of clinical experience since graduating from Boston University School Of Medicine in 1991, Dr. Lalla delivers high-quality medical care to the local community at 383 NORTHFIELD AVE.

Dr. Lalla accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, 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

383 Northfield Ave

West Orange, NJ 070523024

Telephone 9733249455
Fax 9733249454
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in West Orange, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs -3.0 yrs vs City Avg
City Avg: 38.0 Yrs
State Avg: 31.2 Yrs
Regional Practice Density
8 Specialists

Practicing in West Orange, NJ (209 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lalla (35 Years) 35 Yrs
West Orange Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
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
14 14 $267.00 $170.23

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NJ MA58573

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7222904 (NJ)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2008

Registered at 383 NORTHFIELD AVE, WEST ORANGE, NJ 070523024 (Tel: 9733249455)

📍
Updated Business Mailing Address March 03, 2008

Registered at 383 NORTHFIELD AVE, WEST ORANGE, NJ 070523024 (Tel: 9733249455)

👤
Provider Name / Credentials Updated March 03, 2008

Recorded as SANJAY LALLA, M. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2008

Plastic Surgery (License #MA58573 in NJ)

🟢
Initial NPI Registration & Enumeration April 05, 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: 1295797256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: March 03, 2008
Sole Proprietor: Yes

Mailing Address

383 Northfield Ave

West Orange, NJ 070523024

Phone: 9733249455

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.