Active NPI
Sanjay K Jain, MD
- Family Medicine Physician
- Hackettstown, NJ
National Provider Identifier
1063455780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA42351
- Practice address
- Panther Valley Mall, BLDG B, Route 517
Hackettstown, NJ 07840 - Phone
- (908) 852-0107
- Fax
- (908) 850-9160
- NPI assigned
- Jun 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA42351 | NJ | Primary |
Addresses
Primary practice location
Panther Valley Mall, BLDG B, Route 517
Hackettstown, NJ 07840
Mailing address
Panther Valley Mall, BLDG B, Route 517
Hackettstown, NJ 07840
Phone (908) 852-0107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00918130 | Medicaid | NY | |
| 1975102 | Medicaid | NJ | |
| 1K1812 | Other | COMMERCIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42351 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salerno Medical Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- jain.sanjay.003.0300109@nwma.meditab.direct-ci.com
- jain.sanjay.004.0300109@nwma.meditab.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hackettstown, NJ
- NPI 1487395091
-
- Family Medicine Physician
- Hackettstown, NJ
- NPI 1477641074
-
dba Prospect Spine and Pain
- Internal Medicine Physician
- East Orange, NJ
- NPI 1184766107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063455780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PANTHER VALLEY MALL, BLDG B, ROUTE 517",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "07840",
"telephone_number": "908-852-0107",
"fax_number": "908-850-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PANTHER VALLEY MALL, BLDG B, ROUTE 517",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "07840",
"telephone_number": "908-852-0107",
"fax_number": "908-850-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "SANJAY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA42351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00918130",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1975102",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "1K1812",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.