MR. SANJEEV NAYYAR MD
NPI 1033193628
Internal Medicine - Gastroenterology in Old Bridge, NJ

Q: What is Sanjeev Nayyar's NPI number?

The NPI number for Sanjeev Nayyar is 1033193628. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Sanjeev Nayyar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Sanjeev Nayyar was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment

200 PERRINE RD, SUITE 231, OLD BRIDGE, NJ 08857(732) 525-0600(732) 525-9777 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Sanjeev Nayyar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SANJEEV NAYYAR MD (NPI 1033193628) is an individual gastroenterology provider in Old Bridge, New Jersey, licensed in New Jersey (25MA05960200) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1033193628

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMR. SANJEEV NAYYARCredential: MD

Location Address200 PERRINE RD, SUITE 231Old Bridge, NJ 08857-2842

Mailing AddressPo Box 209Wickatunk, NJ 07765-0209 · (732) 525-0600 · Fax (732) 525-9777

Phone(732) 525-0600

Fax(732) 525-9777

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateDecember 6, 2005

Last NPPES UpdateJune 6, 2025

NPPES CertifiedJune 6, 2025

✔ NPI 1033193628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · 25MA05960200

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

200 PERRINE RD, Old Bridge, NJ 08857

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sanjeev Nayyar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284629247

PECOS Enrollment IDI20040423000199

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sanjeev Nayyar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden State Gastroenterology,pc

Same address

Gastroenterology

200 PERRINE RD, SUITE 231
Old Bridge, NJ 08857

Reassigned Medicare billing, New Jersey enrollment
5 clinicians in this Medicare group

NPI 1215124524 (732) 525-0600

Hackensack Meridian Health Medical Group - Primary Care PC

13 mi

Family Medicine

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
689 clinicians in this Medicare group

NPI 1336203538 (732) 807-0800

Union County Health Care Associates LLC

15 mi

Internal Medicine

300 SOUTH AVE
Garwood, NJ 07027

Reassigned Medicare billing, New Jersey enrollment
54 clinicians in this Medicare group

NPI 1033271291 (908) 232-2273

Hackensack Meridian Urgent Care Plus PC

24 mi

Urgent Care

5 MARINE VIEW PLZ STE 101
Hoboken, NJ 07030

Reassigned Medicare billing, New Jersey enrollment
38 clinicians in this Medicare group

NPI 1396858874 (848) 308-4612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,982 services346 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

558 services353 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

402 services346 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

354 services95 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

190 services179 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

164 services164 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

73 services73 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

56 services55 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

40 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services22 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

26 services24 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

21 services21 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

66%92 patients4/55-star benchmark: 85%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

17%23 patients1/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

58%139 patients1/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

25%57 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

35%97 patients2/55-star benchmark: 99%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

29%63 patients2/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

95%139 patients4/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

14%135 patients1/55-star benchmark: 88%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

91%97 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

2%97 patients1/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOMENS HEALTHCARE PAVILLION PA

Point of Service

200 PERRINE RD, SUITE 204
OLD BRIDGE, NJ 08857

Middlesex County (732) 707-3545

MEENAKSHI B. PARIKH M. D.

Pediatrics

200 PERRINE RD, SUITE # 223
OLD BRIDGE, NJ 08857

Middlesex County (732) 727-1818

REHABILITATION AND ELECTRODIAGNOSTICS INC

Specialist

200 PERRINE RD, SUITE 211
OLD BRIDGE, NJ 08857

Middlesex County (732) 553-1000

KAJAL GANDHI NURSE PRACTITIONER

Nurse Practitioner (Family)

200 PERRINE RD
OLD BRIDGE, NJ 08857

Middlesex County (732) 264-1163

DR. MARITZA GEORGETTE PARRENO M.D.

Internal Medicine

200 PERRINE RD, SUITE 220
OLD BRIDGE, NJ 08857

Middlesex County (732) 721-1600

GARDEN STATE GASTROENTEROLOGY,PC

Internal Medicine (Gastroenterology)

200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857

Middlesex County (732) 525-0600

SEEMA NAYYAR DO, INC

Anesthesiology

200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857

Middlesex County (732) 525-0600

SANTHOSH K. CHEELA

Internal Medicine (Gastroenterology)

200 PERRINE RD, SUITE 208
OLD BRIDGE, NJ 08857

Middlesex County (732) 525-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjeev Nayyar's NPI number?

The NPI number for Sanjeev Nayyar is 1033193628. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Sanjeev Nayyar located?

Sanjeev Nayyar practices at 200 Perrine Rd Suite 231, Old Bridge, NJ 08857. The listed phone number is (732) 525-0600.

What is Sanjeev Nayyar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sanjeev Nayyar enrolled in Medicare?

Yes. Sanjeev Nayyar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sanjeev Nayyar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjeev Nayyar reassigns Medicare benefits to 4 organizations: Garden State Gastroenterology,pc (Old Bridge, NJ), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Union County Health Care Associates LLC (Garwood, NJ) and Hackensack Meridian Urgent Care Plus PC (Hoboken, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanjeev Nayyar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjeev Nayyar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sanjeev Nayyar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sanjeev Nayyar affiliated with any hospitals?

According to CMS data, Sanjeev Nayyar is affiliated with Raritan Bay Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjeev Nayyar was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.