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SANJIV K SHARMA M.D.
NPI 1285607739
Internal Medicine in Toms River, NJ

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
9 MULE RD, SUITE E-8, TOMS RIVER, NJ 08755(732) 341-6070(732) 341-6077 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjiv K Sharma M.d. NPPES

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

SANJIV K SHARMA M.D. (NPI 1285607739) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (25MA06957200) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1285607739
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANJIV K SHARMACredential: M.D.
Location Address9 MULE RD, SUITE E-8Toms River, NJ 08755-5043
Mailing Address9 Mule Rd, Suite E-8Toms River, NJ 08755-5043 · (732) 341-6070 · Fax (732) 341-6077
Phone(732) 341-6070
Fax(732) 341-6077
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 4, 2013
✔ NPI 1285607739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06957200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 25MA69572 (NJ)
9 MULE RD, Toms River, NJ 08755
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Other Identifiers 8

Other2376287NJ · Aetna
Medicare UPINH12972NJ
Other223755177NJ · Tax Id
Other111281NJ · Medicare Id
Medicaid8430501NJ
OtherP2187617NJ · Oxford
Other110213348NJ · Palmetto Gba/rr Medicare
Medicare PIN036789WL4NJ

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

Sanjiv K Sharma M.d. 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 ID1052419272
PECOS Enrollment IDI20070611000671
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 7

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 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.
358 services125 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
104 services104 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.
45 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,660 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
79%572 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%428 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%428 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers14 claims45 services$7.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims19 services$1.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

FREDERICK J ROTHBERG DPM
Podiatrist (Foot & Ankle Surgery)
9 MULE RD
TOMS RIVER, NJ 08755
Ocean County (732) 797-1535
OCEAN MEDICAL IMAGING ASSOCIATES
Radiology (Diagnostic Radiology)
9 MULE RD
TOMS RIVER, NJ 08755
Ocean County (732) 286-6333
MR. MATTHEW J LINARDO MPT
Physical Therapist
9 MULE RD, SUITE E-2
TOMS RIVER, NJ 08755
Ocean County (732) 473-1666
DEBRA LIME DOOLEY PT
Physical Therapist
9 MULE RD, SUITE E-2
TOMS RIVER, NJ 08755
Ocean County (732) 473-1666
MRS. PATRICIA GORDON P.T.
Specialist
9 MULE RD, E2
TOMS RIVER, NJ 08755
Ocean County (732) 473-1666
GERIATRIC MEDICAL CENTER LLC
Internal Medicine
9 MULE RD, SUITE E8
TOMS RIVER, NJ 08755
Ocean County (732) 341-6070
JB ORTHOPAEDICS PA
Orthopaedic Surgery
9 MULE RD, SUITE E13
TOMS RIVER, NJ 08755
Ocean County (732) 244-4600
MARY O'KEEFE MD
Emergency Medicine
9 MULE RD, OCEAN COUNTY FAMILY CARE
TOMS RIVER, NJ 08755
Ocean County (732) 818-0004

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 Sanjiv Sharma's NPI number?

The NPI number for Sanjiv Sharma is 1285607739. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Sanjiv Sharma located?

Sanjiv Sharma practices at 9 Mule Rd Suite E-8, Toms River, NJ 08755. The listed phone number is (732) 341-6070.

What is Sanjiv Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanjiv Sharma enrolled in Medicare?

Yes. Sanjiv Sharma 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.

Is Sanjiv Sharma affiliated with any hospitals?

According to CMS data, Sanjiv Sharma is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjiv Sharma was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.