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DR. JOHN M. SUNDHEIM MD
NPI 1093795015
Internal Medicine - Geriatric Medicine in Toms River, NJ

Active since January 17, 2006PECOS Enrolled
1433 HOOPER AVE 230, TOMS RIVER, NJ 08753(732) 818-6800 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John M. Sundheim Md NPPES

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

DR. JOHN M. SUNDHEIM MD (NPI 1093795015) is an individual geriatric medicine provider in Toms River, New Jersey, licensed in New Jersey (MA35415) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093795015
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. JOHN M. SUNDHEIMCredential: MD
Location Address1433 HOOPER AVE 230Toms River, NJ 08753-2200
Mailing Address1433 Hooper Ave 230Toms River, NJ 08753-2200 · (732) 818-6800 · Fax (732) 818-6894
Phone(732) 818-6800
Sole ProprietorYes
Enumeration DateJanuary 17, 2006
Last NPPES UpdateOctober 1, 2015
✔ NPI 1093795015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NJ · MA35415
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1433 HOOPER AVE 230, Toms River, NJ 08753
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Other Identifiers 3

Medicare ID-Type Unspecified170486
Medicaid2954206NJ
Medicare UPINC53691NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John M. Sundheim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show John Sundheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vps Medical Services, PC
16 mi
Internal Medicine
3600 STATE ROUTE 66 FL 4
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 64 clinicians in this Medicare group
NPI 1265077739 (732) 571-1000
Visiting Nurse Association Of Central Jersey, Inc.
24 mi
Home Health
23 MAIN ST STE D1
Holmdel, NJ 07733
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
NPI 1144275892 (732) 224-6914

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 John Sundheim's NPI number?

The NPI number for John Sundheim is 1093795015. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is John Sundheim located?

John Sundheim practices at 1433 Hooper Ave 230, Toms River, NJ 08753. The listed phone number is (732) 818-6800.

What is John Sundheim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is John Sundheim enrolled in Medicare?

Yes. John Sundheim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Sundheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Sundheim reassigns Medicare benefits to 2 organizations: Vps Medical Services, PC (Neptune, NJ) and Visiting Nurse Association Of Central Jersey, Inc. (Holmdel, 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 John Sundheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Sundheim was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.