NPIMap

Individual provider Active NPI

Sanjay Kumar Saxena, M.D.

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1710326624
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD458323 Issued in PA
Practice address
300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Phone
(570) 342-7864
Fax
(570) 344-1255
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 MD458323 PA Primary

Addresses

Primary practice location

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001

Mailing address

300 Lackawanna Ave Unit 200
Scranton, PA 18503-2001
Phone (570) 342-7864

Other identifiers 1

IdentifierTypeStateIssuer
1031395710001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802003043 PA Practitioner - HospitalistPractitioner - Internal Medicine 0143514919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

300 Lackawanna Ave
Suite 200
Scranton, PA 18503-2001
Phone (570) 342-7864

Hospital & facility affiliations

  • Traditional Home Health Care Home health agency, Dunmore, PA, CCN 397774
  • Allied Services Home Health Home health agency, Clarks Summit, PA, CCN 397167
  • Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 6, 2023 Accepting new patients
Scranton Quincy Clinic Company LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Jul 1, 2016 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Sep 2, 2020 Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince Feb 6, 2023 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Vascular Diagnostic Center PC PastSince Feb 25, 2024 Accepting new patients
Delta Medix PC PastSince Feb 25, 2024 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

300 Lackawanna Ave
#200
Scranton, PA 18503

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

300 Lackawanna Ave
Ste 200
Scranton, PA 18503
Phone (570) 342-7864

Organizations & group practices 10

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1710326624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LACKAWANNA AVE UNIT 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032001",
            "telephone_number": "570-342-7864",
            "fax_number": "570-344-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LACKAWANNA AVE STE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032001",
            "telephone_number": "570-342-7864",
            "fax_number": "570-344-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "SANJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD458323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031395710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.