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MAURICIO JORGE SANCHEZ MD
NPI 1215971783
Internal Medicine in Kearny, NJ

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
845 KEARNY AVE, KEARNY, NJ 07032(201) 991-1129(201) 991-2799 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mauricio Jorge Sanchez Md NPPES

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

MAURICIO JORGE SANCHEZ MD (NPI 1215971783) is an individual internal medicine provider in Kearny, New Jersey, licensed in New Jersey (25MA06334400) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1215971783
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAURICIO JORGE SANCHEZCredential: MD
Location Address845 KEARNY AVEKearny, NJ 07032-3244
Mailing Address845 Kearny AveKearny, NJ 07032-3244 · (201) 991-1129 · Fax (201) 991-2799
Phone(201) 991-1129
Fax(201) 991-2799
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJune 15, 2006
Last NPPES UpdateJanuary 14, 2009
✔ NPI 1215971783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06334400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MA63344 (NJ)
845 KEARNY AVE, Kearny, NJ 07032
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Other Identifiers 3

Medicare ID-Type Unspecified058124NJ
Medicaid7156600NJ
Medicare UPING38350

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

Mauricio Jorge Sanchez 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 ID4284627712
PECOS Enrollment IDI20040807000182
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

3

Medicare enrollment records show Mauricio Sanchez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drx Paramus, LLC
13 mi
Urgent Care
67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
NPI 1316272685 (201) 262-2010
Jersey Irish Medical
26 mi
Urgent Care
601 W. UNION AVE.
Bound Brook, NJ 08805
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
NPI 1144575739 (732) 469-3627
The Radiology Group Of New Jersey, LLC
36 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621

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 9

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.

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.
87 services73 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
73 services67 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
64 services31 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.
55 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 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.
36 services31 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07032 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.

Other Providers at the Same Location NPPES 3

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

DR. LOUIS PERRONE D.C.
Chiropractor
845 KEARNY AVE
KEARNY, NJ 07032
Hudson County (201) 565-3995
SANTA MARIA CLINIC
Clinic/Center (Primary Care)
845 KEARNY AVE
KEARNY, NJ 07032
Hudson County (201) 991-1129
SANTA MARIA MEDICAL GROUP,P.A.
Clinic/Center (Primary Care)
845 KEARNY AVE
KEARNY, NJ 07032
Hudson County (201) 991-1129

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 Mauricio Sanchez's NPI number?

The NPI number for Mauricio Sanchez is 1215971783. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Mauricio Sanchez located?

Mauricio Sanchez practices at 845 Kearny Ave, Kearny, NJ 07032. The listed phone number is (201) 991-1129.

What is Mauricio Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mauricio Sanchez enrolled in Medicare?

Yes. Mauricio Sanchez 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 Mauricio Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mauricio Sanchez reassigns Medicare benefits to 3 organizations: Drx Paramus, LLC (Paramus, NJ), Jersey Irish Medical (Bound Brook, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, 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 Mauricio Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mauricio Sanchez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mauricio Sanchez 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 Mauricio Sanchez affiliated with any hospitals?

According to CMS data, Mauricio Sanchez is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Mauricio Sanchez was last updated on January 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.