SUNIL SAXENA
NPI 1255364766
Emergency Medicine in Hoboken, NJ

Q: 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.

Q: What is Sunil Saxena's specialty?

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

Q: 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 14 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.

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: November 01, 2026.

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

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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, maintains 2 additional practice locations, 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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Secondary Practice Locations 2

Location 19901 Medical Center DrRockville, MD 20850-3357 · Phone (301) 279-6550

Location 2200 E Fairman AveWatseka, IL 60970-1644 · Phone (815) 432-5841

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

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.

Medicare Billing Reassignments

Medicare enrollment records show Sunil Saxena reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Onyx Medical LLC

26 mi

Family Medicine

109 W MAIN ST
Denville, NJ 07834

Reassigned Medicare billing, New Jersey enrollment
4 clinicians in this Medicare group

NPI 1124817648 (973) 954-9401

Richbend Emergency Physicians, PLLC

334 mi

Emergency Medicine

812 GORMAN AVE
Elkins, WV 26241

Reassigned Medicare billing, West Virginia enrollment
90 clinicians in this Medicare group

NPI 1093438830 (304) 636-3300

Health Care Alliance, Inc.

433 mi

Emergency Medicine

105 S EISENHOWER DR
Beckley, WV 25801

Reassigned Medicare billing, West Virginia enrollment
183 clinicians in this Medicare group

NPI 1730128760 (304) 256-6600

Saxena Medical LLC

475 mi

Emergency Medicine

8250 SANCTUARY DR
Columbus, OH 43235

Reassigned Medicare billing, Alabama, District of Columbia, Florida, Illinois, Kansas, Louisiana, New Jersey, New York, Ohio, Texas, Washington and West Virginia enrollments

NPI 1336839059 (703) 508-4421

Iroquois Memorial Hospital And Resident Home

716 mi

General Practice

135 W STATION ST
Saint Anne, IL 60964

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1629003470 (Illinois)
78 clinicians in this Medicare group

NPI 1215650528 (815) 432-5841

Statera Health Care, LLC

806 mi

Emergency Medicine

100 DR WARREN TUTTLE DR
Harrisburg, IL 62946

Reassigned Medicare billing, Illinois enrollment
169 clinicians in this Medicare group

NPI 1043874449 (618) 833-1691

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 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

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.

27 services27 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

23 services23 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

13 services13 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services12 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

12 services12 patients

Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) 90715

The Diphtheria, Tetanus, and Acellular Pertussis vaccine, also known as Tdap, is an immunization given to protect against three serious diseases. It's recommended for those aged 7 or older. The vaccine stimulates your body to build defenses against these infections, promoting overall health.

12 services12 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.

Which organizations bill Medicare for Sunil Saxena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Saxena reassigns Medicare benefits to 6 organizations: Blue Onyx Medical LLC (Denville, NJ), Richbend Emergency Physicians, PLLC (Elkins, WV), Health Care Alliance, Inc. (Beckley, WV), Saxena Medical LLC (Columbus, OH), Iroquois Memorial Hospital And Resident Home (Saint Anne, IL) and 1 more organization, listed in the Medicare section above. 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 Sunil Saxena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Saxena accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian 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 14 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.