Individual provider Active NPI

Sapna Jain, MD

  • Internal Medicine Physician
  • Colonia, NJ
National Provider Identifier
1568415990
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07300600 Issued in NJ
Practice address
805 Inman Ave
Colonia, NJ 07067
Phone
(732) 340-0007
Fax
(732) 340-0777
NPI assigned
May 18, 2006
Last updated
Nov 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07300600 NJ Primary

Addresses

Primary practice location

805 Inman Ave
Colonia, NJ 07067

Mailing address

1024 Park Ave
Suite 6a
Plainfield, NJ 07060
Phone (908) 222-8400

Other identifiers 1

IdentifierTypeStateIssuer
0146757MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000056 NJ Practitioner - Internal Medicine 6406881895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inman Medical Associates,LLCGroup PAC ID 5698864528, 3 clinicians

Practice addresses (Care Compare)

805 Inman Ave
Colonia, NJ 07067-1433
Phone (732) 340-0007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inman Medical Associates,LLC Internal Medicine CurrentSince Nov 1, 2007 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

805 Inman Ave
Colonia, NJ 07067
Phone (732) 340-0007

322 State St
Perth Amboy, NJ 08861
Phone (732) 340-0007

1024 Park Ave
Ste 6A
Plainfield, NJ 07060
Phone (908) 222-8400

Interoperability endpoints

  • Direct secure messaging: sapna.jain@direct.digidms.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1568415990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 PARK AVE",
            "address_2": "SUITE 6A",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "908-222-8400",
            "fax_number": "908-222-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "07067",
            "telephone_number": "732-340-0007",
            "fax_number": "732-340-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SAPNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07300600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146757",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

Verify at the official NPI Registry.