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DR. DANIEL SANSOBRINO MD
NPI 1174726491
Obstetrics & Gynecology in West Orange, NJ

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052(973) 731-7707(973) 669-0277 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Daniel Sansobrino Md NPPES

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

DR. DANIEL SANSOBRINO MD (NPI 1174726491) is an individual obstetrics & gynecology provider in West Orange, New Jersey, licensed in New Jersey (25MA08751100) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1174726491
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DANIEL SANSOBRINOCredential: MD
Location Address375 MOUNT PLEASANT AVEWest Orange, NJ 07052-2750
Mailing AddressPo Box 594East Hanover, NJ 07936 · (973) 669-5711 · Fax (973) 669-5722
Phone(973) 731-7707
Fax(973) 669-0277
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 6, 2007
Last NPPES UpdateJuly 11, 2019
✔ NPI 1174726491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA08751100
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
375 MOUNT PLEASANT AVE, West Orange, NJ 07052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Dr. Daniel Sansobrino 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 ID2062693492
PECOS Enrollment IDI20110218000120
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 Reassignment

Medicare enrollment records show Daniel Sansobrino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA
11 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

YESICA CANO APN
Nurse Practitioner (Gerontology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-9442
DR. JOAO A LOPES M.D.
Surgery
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-7707
ADILA ASIM FAKHAR RD
Dietitian, Registered
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-9442
MR. STEPHEN CRANE MD
Obstetrics & Gynecology
375 MOUNT PLEASANT AVE, SUITE 202
WEST ORANGE, NJ 07052
Essex County (973) 731-7707
DR. DAVID P DOBESH MD
Internal Medicine (Clinical Cardiac Electrophysiology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-9442
ELIZABETH ANN JEHLE CPNP-PC
Nurse Practitioner (Pediatrics)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 322-6900
PATRICIA ANN CORTINA PT
Physical Therapist
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (908) 322-6363
MARIANNE JACOB
Pediatrics (Pediatric Endocrinology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 322-6900

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 Daniel Sansobrino's NPI number?

The NPI number for Daniel Sansobrino is 1174726491. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Daniel Sansobrino located?

Daniel Sansobrino practices at 375 Mount Pleasant Ave, West Orange, NJ 07052. The listed phone number is (973) 731-7707.

What is Daniel Sansobrino's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Daniel Sansobrino enrolled in Medicare?

Yes. Daniel Sansobrino 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 organization bills Medicare for Daniel Sansobrino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Sansobrino reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Daniel Sansobrino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Sansobrino accept?

Health plans from Oscar Health list Daniel Sansobrino 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.

When was this NPI record last updated?

The NPPES record for Daniel Sansobrino was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.