DR. CARLOS ALFONSO SANCHEZ DO
NPI 1255624896
Family Medicine in Newark, NJ

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
617 BROAD ST, NEWARK, NJ 07102(862) 246-7940(862) 246-7941 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlos Alfonso Sanchez Do NPPES

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

DR. CARLOS ALFONSO SANCHEZ DO (NPI 1255624896) is an individual family medicine provider in Newark, New Jersey, licensed in New York (275285) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1255624896
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLOS ALFONSO SANCHEZCredential: DO
Location Address617 BROAD STNewark, NJ 07102-4403
Mailing Address1345 Rxr Plz Fl 13Uniondale, NY 11556-1301 · (516) 453-0435 · Fax (646) 846-3283
Fax(862) 246-7941
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 16, 2011
Last NPPES UpdateJuly 18, 2019
NPI 1255624896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 275285 Licensed in NJ · 25MB09378700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
617 BROAD ST, Newark, NJ 07102

Other Identifiers 1

Medicaid02845370NY

Accepted 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

Dr. Carlos Alfonso Sanchez Do 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 ID2466671433
PECOS Enrollment IDI20190813000144
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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
832 services335 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
130 services116 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.
76 services73 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
65 services64 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
48 services35 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.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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.

Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Family Medicine
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant
617 BROAD ST
NEWARK, NJ 07102
Emergency Medicine
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Emergency Medicine
617 BROAD ST
NEWARK, NJ 07102

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 Carlos Sanchez's NPI number?

The NPI number for Carlos Sanchez is 1255624896. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Carlos Sanchez located?

Carlos Sanchez practices at 617 Broad St, Newark, NJ 07102. The listed phone number is (862) 246-7940.

What is Carlos Sanchez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Sanchez enrolled in Medicare?

Yes. Carlos 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.

What insurance does Carlos Sanchez accept?

Health plans from Anthem Blue Cross and Blue Shield list Carlos 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 Carlos Sanchez affiliated with any hospitals?

According to CMS data, Carlos Sanchez is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Sanchez was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.