DR. SANJAY AHLAWAT
NPI 1245485895
Nurse Practitioner - Psychiatric/Mental Health in Old Bridge, NJ

Active since November 24, 2008PECOS EnrolledAccepts Medicare Assignment
42 THROCKMORTON LN, OLD BRIDGE, NJ 08857(732) 607-1111(732) 607-0552 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2026, May 5, 2024, Jul 9, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Sanjay Ahlawat NPPES

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

DR. SANJAY AHLAWAT (NPI 1245485895) is an individual psychiatric/mental health provider in Old Bridge, New Jersey, licensed in New Jersey (26NJ00663700) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245485895
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. SANJAY AHLAWAT
Location Address42 THROCKMORTON LNOld Bridge, NJ 08857-2572
Mailing Address9 Aspen RdWest Orange, NJ 07052-1201 · (862) 216-4879
Fax(732) 607-0552
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 24, 2008
Last NPPES UpdateAugust 21, 20264 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1245485895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00663700
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00663700 (NJ)
42 THROCKMORTON LN, Old Bridge, NJ 08857

Other Names 1

Former Name (1)Dr. Sanjay Ahlawat Md

Secondary Practice Locations 2

Location 11650 Grand ConcourseBronx, NY 10457-7606 · Phone (718) 518-5000 · Fax (718) 518-5124
Location 2741 BroadwayNewark, NJ 07104 · Phone (201) 675-1900

Accepted 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. Sanjay Ahlawat 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 ID4688917594
PECOS Enrollment IDI20190516001863
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 Sanjay Ahlawat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
92-96 FERRY STREET
Newark, NJ 07105
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
Internal Medicine
1136 CLIFTON AVE FL 2
Clifton, NJ 07013
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group

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 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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 12

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

Clinical Medical Laboratory
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Specialist
42 THROCKMORTON LN, 2ND FLOOR
OLD BRIDGE, NJ 08857
General Practice
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Clinic/Center (Sleep Disorder Diagnostic)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Clinic/Center (Sleep Disorder Diagnostic)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Clinic/Center (Ambulatory Surgical)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Specialist
42 THROCKMORTON LN, 2ND FLOOR
OLD BRIDGE, NJ 08857
Internal Medicine
42 THROCKMORTON LN, SECOND FLOOR
OLD BRIDGE, NJ 08857

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 Sanjay Ahlawat's NPI number?

The NPI number for Sanjay Ahlawat is 1245485895. It was assigned to this individual provider in the NPPES registry on November 24, 2008. The provider is also known as Dr. Sanjay Ahlawat MD.

Where is Sanjay Ahlawat located?

Sanjay Ahlawat practices at 42 Throckmorton Ln, Old Bridge, NJ 08857. The listed phone number is (732) 607-1111.

What is Sanjay Ahlawat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sanjay Ahlawat enrolled in Medicare?

Yes. Sanjay Ahlawat 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 Sanjay Ahlawat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Ahlawat reassigns Medicare benefits to 2 organizations: Newark Community Health Centers, Inc (Newark, NJ) and Gold Standard Medical Group PC (Clifton, 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 Sanjay Ahlawat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Ahlawat accept?

Health plans from Oscar Health list Sanjay Ahlawat 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 Sanjay Ahlawat was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.