DR. SANJAY LALLA M. D.
NPI 1295797256
Plastic Surgery in West Orange, NJ

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
383 NORTHFIELD AVE, WEST ORANGE, NJ 07052(973) 324-9455(973) 324-9454 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sanjay Lalla M. D. NPPES

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

DR. SANJAY LALLA M. D. (NPI 1295797256) is an individual plastic surgery provider in West Orange, New Jersey, licensed in New Jersey (MA58573) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1991).

NPPES Registry Identity

NPI1295797256
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. SANJAY LALLACredential: M. D.
Location Address383 NORTHFIELD AVEWest Orange, NJ 07052-3024
Mailing Address383 Northfield AveWest Orange, NJ 07052-3024 · (973) 324-9455 · Fax (973) 324-9454
Fax(973) 324-9454
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 1991
Enumeration DateApril 5, 2006
Last NPPES UpdateMarch 3, 2008
NPI 1295797256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in NJ · MA58573
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
383 NORTHFIELD AVE, West Orange, NJ 07052

Other Identifiers 3

Medicaid7222904NJ
Medicare UPING46776
Medicare PIN767490NJ

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. Sanjay Lalla 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 ID3072538693
PECOS Enrollment IDI20051012000395
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 2

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

Family Medicine
383 NORTHFIELD AVE, SUITE 102
WEST ORANGE, NJ 07052
Specialist
383 NORTHFIELD AVE
WEST ORANGE, NJ 07052

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 Sanjay Lalla's NPI number?

The NPI number for Sanjay Lalla is 1295797256. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Sanjay Lalla located?

Sanjay Lalla practices at 383 Northfield Ave, West Orange, NJ 07052. The listed phone number is (973) 324-9455.

What is Sanjay Lalla's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Sanjay Lalla enrolled in Medicare?

Yes. Sanjay Lalla 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.

When was this NPI record last updated?

The NPPES record for Sanjay Lalla was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.