Individual provider Active NPI

Carlos Alfonso Sanchez, DO

  • Family Medicine Physician
  • Newark, NJ
National Provider Identifier
1255624896
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
275285 Issued in NY
Practice address
617 Broad St
Newark, NJ 07102-4403
Phone
(862) 246-7940
Fax
(862) 246-7941
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09378700 NJ
Family Medicine Physician 207Q00000X 275285 NY Primary

Addresses

Primary practice location

617 Broad St
Newark, NJ 07102-4403

Mailing address

1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435

Other identifiers 1

IdentifierTypeStateIssuer
02845370MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, VT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140924001533 NY Practitioner - Family Practice 2466671433 Reassigns benefits to 1 organization
I20190813000144 NJ Practitioner - Family Practice 2466671433 Reassigns benefits to 3 organizations
I20241022000211 VT Practitioner - Family Practice 2466671433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Health Care Associates LLCGroup PAC ID 2163450958, 19 clinicians

Practice addresses (Care Compare)

2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone (732) 381-3740

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 1, 2016 Accepting new patients
Union Community Health Center, Inc. CurrentSince Oct 11, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Jun 1, 2020 Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Nov 1, 2024 Accepting new patients
Summit Medical Group PA CurrentSince Jun 1, 2020 Accepting new patients
Union County Health Care Associates LLC CurrentSince Nov 15, 2024 Accepting new patients
Southwestern Vermont Medical Center Inc. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Wound Healing Associates PC CurrentSince Jun 1, 2023 Accepting new patients
Dr. Carlos a. Sanchez, LLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 1, 2016 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

221 County Rd
#One
Cresskill, NJ 07626
Phone (201) 567-4444

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

290 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-0789

800 River Rd
New Milford, NJ 07646
Phone (201) 568-0033

617 Broad St
Newark, NJ 07102
Phone (862) 246-7940

282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2016 Bronxdale Ave
Ste 101
Bronx, NY 10462
Phone (718) 918-1102

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

Interoperability endpoints

  • Direct secure messaging: carlos.sanchez.2@2983.direct.athenahealth.com
  • Direct secure messaging: carlos.sanchez.3@2983.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1255624896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ FL 13",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-453-0435",
            "fax_number": "646-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024403",
            "telephone_number": "862-246-7940",
            "fax_number": "862-246-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CARLOS",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09378700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "275285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02845370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.