Individual provider Active NPI

Sanna Kalika, MD

  • Internal Medicine Physician
  • Manalapan, NJ
National Provider Identifier
1396700795
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07968600 Issued in NJ
Practice address
200 Craig Rd Ste 105
Manalapan, NJ 07726-8735
Phone
(718) 913-4433
Fax
(866) 886-6548
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 331087014 NJ
Sports Medicine (Family Medicine) Physician 207QS0010X 760760601 NJ
Sports Medicine (Family Medicine) Physician 207QS0010X 043851266 NJ
Internal Medicine Physician 207R00000X 25MA07968600 NJ Primary

Addresses

Primary practice location

200 Craig Rd Ste 105
Manalapan, NJ 07726-8735

Mailing address

126 5TH Ave FL 2
New York, NY 10011-5631
Phone (646) 880-4465

Other practice location 1

184 Nathan Dr
Morganville, NJ 07751-2205
Phone (718) 913-4433

Other identifiers 13

IdentifierTypeStateIssuer
096111-DCHOtherNJMEDICARE
0080250MedicaidNJ
4562836OtherNJCIGNA
A0790OtherNJBCBS HMO OB
A0792OtherNJBCBS HMO KP
P00310583OtherMEDICARE RAILROAD
096111-UJOOtherNJMEDICARE
096111-S3LOtherNJMEDICARE
7670754OtherNJAETNA
A0791OtherNJBCBS HMO AP
P3835664OtherNJOXFORD OB
P3835669OtherNJOXFORD AP
P3835677OtherNJOXFORD KP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 12, 2019 through Apr 12, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medicine Alliance PA Internal Medicine CurrentSince Jan 9, 2006 Accepting new patients
Hospital Medicine Associates, P.C. Internal Medicine Past Accepting new patients
Ima Urgent Care Past Accepting new patients
Healthpoint Medical Group of Asbury Park, LLC Past Accepting new patients
Heathpoint Medical Group of Keyport, LLC Past Accepting new patients
Family Community Medicine LLC Sports Medicine PastSince Dec 30, 2016 Accepting new patients

Locations

569 River Rd
Fair Haven, NJ 07704
Phone (732) 530-0100

27 Pinckney Rd
Red Bank, NJ 07701
Phone (732) 747-4600

231 Maple Ave
Red Bank, NJ 07701
Phone (732) 530-1164

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1396700795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115631",
            "telephone_number": "646-880-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CRAIG RD STE 105",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268735",
            "telephone_number": "718-913-4433",
            "fax_number": "866-886-6548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Nathan Dr",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077512205",
            "country_code": "US",
            "telephone_number": "718-913-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALIKA",
        "first_name": "SANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "331087014",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "760760601",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "043851266",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07968600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "096111-DCH",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080250",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4562836",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO OB",
            "identifier": "A0790",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO KP",
            "identifier": "A0792",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00310583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "096111-UJO",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "096111-S3L",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7670754",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO AP",
            "identifier": "A0791",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD OB",
            "identifier": "P3835664",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD AP",
            "identifier": "P3835669",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD KP",
            "identifier": "P3835677",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.