DR. SANJAY AHLAWAT
NPI 1245485895
Nurse Practitioner - Adult Health in Old Bridge, NJ

NPI Status: Active since November 24, 2008

Contact Information

42 THROCKMORTON LN
OLD BRIDGE, NJ
ZIP 08857
Phone: (732) 607-1111
Fax: (732) 607-0552

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  • Individual
  • Male
  • Nurse Practitioner
  • Adult Health
  • PECOS Enrolled

About SANJAY AHLAWAT

This page provides the complete NPI Profile along with additional information for Sanjay Ahlawat, a provider established in Old Bridge, New Jersey with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1245485895 assigned on November 2008. The practitioner's primary taxonomy code is 363LA2200X with license number 26NJ00663700 (NJ). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1245485895
Provider Name
DR. SANJAY AHLAWAT
Other Name
DR. SANJAY AHLAWAT MD
Other Name Type
Former Name (1)
Gender
Male
Entity Type
Individual
Location Address
42 THROCKMORTON LN OLD BRIDGE, NJ 08857
Location Phone
(732) 607-1111
Location Fax
(732) 607-0552
Mailing Address
9 ASPEN RD WEST ORANGE, NJ 07052
Mailing Phone
(862) 216-4879
Is Sole Proprietor?
Yes
Enumeration Date
11-24-2008
Last Update Date
05-05-2024
Code Navigator

A nurse practitioner (NP) like Sanjay Ahlawat is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1650 Grand Concourse
    Bronx, NY 10457
    (718) 518-5000
  • 741 Broadway
    Newark, NJ 07104
    (201) 675-1900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
26NJ00663700
License State
NJ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

26NJ00663700 (NJ)

Medicare Participation & PECOS Enrollment Status

Sanjay Ahlawat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08857 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $98.09
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $24.52
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.57
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $27.89
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245485895, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 8 + 8 + 1 + 0 + 8 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1245485895.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245485895, enumerated as an "individual" on November 24, 2008.

The provider is located at 42 THROCKMORTON LN OLD BRIDGE, NJ 08857 and the phone number is (732) 607-1111.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.