Individual provider Active NPI

Sudhanshu Jain, M.D.

  • Nephrology Physician
  • Manalapan, NJ
National Provider Identifier
1720287295
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
269730 Issued in NY
Practice address
28 Plaza 9 Ste a
Manalapan, NJ 07726-3020
Phone
(732) 508-2136
Fax
(714) 276-2868
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 269730 NY Primary
Nephrology Physician 207RN0300X 25MA11671300 NJ

Addresses

Primary practice location

28 Plaza 9 Ste a
Manalapan, NJ 07726-3020

Mailing address

2 Cozy Dr
Manalapan, NJ 07726-8836
Phone (216) 233-2728

Other practice location 1

506 Lenox Ave
suite 1203
New York, NY 10037-1802
Phone (212) 939-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, RI, VA, DC, TN, ME, CT, NC9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20121102000438 NY Practitioner - NephrologyPractitioner - Internal Medicine 4486749967 Reassigns benefits to 1 organization
I20230316000011 NJ Practitioner - Nephrology 4486749967 Reassigns benefits to 1 organization
I20230530002359 RI Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 4486749967
I20230531003402 VA Practitioner - Nephrology 4486749967 Reassigns benefits to 1 organization
I20230713001151 DC Practitioner - Nephrology 4486749967 Reassigns benefits to 1 organization
I20230824003312 TN Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 4486749967
I20231227000970 ME Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 4486749967
I20240816000255 CT Practitioner - Nephrology 4486749967
I20250115002993 NC Practitioner - Nephrology 4486749967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11671300NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metakidney Clinic LLC Nephrology Current Accepting new patients
Manhattan Wellness Psychiatry PLLC Nephrology CurrentSince Dec 13, 2025 Accepting new patients
Harlem Medical Associates PC CurrentSince Aug 20, 2012 Accepting new patients
Monogram Health Professional Services of North Carolina PC Nephrology CurrentSince Dec 19, 2024 Accepting new patients

Locations

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

28 Briar Hill Dr
Ste 1
Manalapan, NJ 07726
Phone (646) 812-5355

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

Interoperability endpoints

  • Direct secure messaging: sjain236968@nychhc.direct-ci.com

Organizations & group practices 5

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1720287295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COZY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268836",
            "telephone_number": "216-233-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PLAZA 9 STE A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263020",
            "telephone_number": "732-508-2136",
            "fax_number": "714-276-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Lenox Ave",
            "address_2": "suite 1203",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371802",
            "country_code": "US",
            "telephone_number": "212-939-1466",
            "fax_number": "212-939-1745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SUDHANSHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "269730",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA11671300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.