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SUNIL SAXENA
NPI 1255364766
Emergency Medicine in Hoboken, NJ

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
231 WASHINGTON ST, HOBOKEN, NJ 07030(201) 754-1006(201) 754-1005 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2024, Jul 5, 2024, Apr 8, 2024 and 1 more (4 updates tracked since 2023).

About Sunil Saxena NPPES

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

SUNIL SAXENA (NPI 1255364766) is an individual emergency medicine provider in Hoboken, New Jersey, licensed in New Jersey (25MA12111300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1993).

NPPES Registry Identity

NPI1255364766
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSUNIL SAXENA
Location Address231 WASHINGTON STHoboken, NJ 07030-7221
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Phone(201) 754-1006
Fax(201) 754-1005
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1993
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 21, 20254 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1255364766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA12111300✔ Licensed in WV · 34143✔ Licensed in MD · D57455
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License D57455 (MD)
231 WASHINGTON ST, Hoboken, NJ 07030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sunil Saxena 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 ID3870543564
PECOS Enrollment IDI20240411000992, I20250424003928, I20250612002567, I20251024000553, I20251219002296
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.

Areas of Expertise CMS Part B claims 13

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 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.
160 services158 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
70 services69 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services57 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services38 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.
34 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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 16

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

MS. AVA HOLTZER
Physician Assistant (Medical)
231 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 754-1006
DR. SAYED M ROHANI M.D.
Family Medicine
231 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 754-1005
SUMMIT MEDICAL GROUP PA
Durable Medical Equipment & Medical Supplies
231 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 754-1006
DR. CHRISTOPHER JAMES NICKERSON MD
Internal Medicine
231 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 754-1005
JESSICA I DELEON PA-C
Physician Assistant (Medical)
231 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 754-1006
KULJEET K. GREWAL PA-C
Physician Assistant
231 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 754-1006
HOBOKEN ORAL SURGERY GROUP
Dentist (Oral and Maxillofacial Surgery)
231 WASHINGTON ST, 2ND FLOOR
HOBOKEN, NJ 07030
Hudson County (201) 418-7300
DR. GILCHRIS BURTON M.D.
Family Medicine
231 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 754-1006

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 Sunil Saxena's NPI number?

The NPI number for Sunil Saxena is 1255364766. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Sunil Saxena located?

Sunil Saxena practices at 231 Washington St, Hoboken, NJ 07030. The listed phone number is (201) 754-1006.

What is Sunil Saxena's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sunil Saxena enrolled in Medicare?

Yes. Sunil Saxena 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.

What insurance does Sunil Saxena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Sunil Saxena 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 Sunil Saxena was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.