DR. SANJAY KUMAR M.D
NPI 1295938496
Surgery - Vascular Surgery in Vineland, NJ

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
1102 E CHESTNUT AVE, VINELAND, NJ 08360(856) 213-6375(856) 575-4986 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sanjay Kumar M.d NPPES

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

DR. SANJAY KUMAR M.D (NPI 1295938496) is an individual vascular surgery provider in Vineland, New Jersey, licensed in New Jersey (25MA08084100) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1295938496
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. SANJAY KUMARCredential: M.D
Location Address1102 E CHESTNUT AVEVineland, NJ 08360-5002
Mailing Address2848 S Delsea Dr, Suite 4bVineland, NJ 08360-7042 · (856) 205-7070
Fax(856) 575-4986
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 6, 2007
Last NPPES UpdateSeptember 12, 2012
NPI 1295938496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NJ · 25MA08084100
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 25MA08084100 (NJ)
1102 E CHESTNUT AVE, Vineland, NJ 08360

Other Identifiers 1

Medicaid145246NJ

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. Sanjay Kumar 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 ID6709973902
PECOS Enrollment IDI20071106000034
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 12

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.
216 services154 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
110 services102 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.
75 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
41 services32 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.
26 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08360 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 8

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

Specialist
1102 E CHESTNUT AVE
VINELAND, NJ 08360
Physician Assistant
1102 E CHESTNUT AVE
VINELAND, NJ 08360
Nurse Practitioner (Women's Health)
1102 E CHESTNUT AVE
VINELAND, NJ 08360
Specialist
1102 E CHESTNUT AVE
VINELAND, NJ 08360
Specialist
1102 E CHESTNUT AVE
VINELAND, NJ 08360
Specialist
1102 E CHESTNUT AVE
VINELAND, NJ 08360
Nurse Practitioner (Women's Health)
1102 E CHESTNUT AVE
VINELAND, NJ 08360
Surgery (Vascular Surgery)
1102 E CHESTNUT AVE
VINELAND, NJ 08360

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 Kumar's NPI number?

The NPI number for Sanjay Kumar is 1295938496. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Sanjay Kumar located?

Sanjay Kumar practices at 1102 E Chestnut Ave, Vineland, NJ 08360. The listed phone number is (856) 213-6375.

What is Sanjay Kumar's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Sanjay Kumar enrolled in Medicare?

Yes. Sanjay Kumar 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 Sanjay Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sanjay Kumar 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 Sanjay Kumar affiliated with any hospitals?

According to CMS data, Sanjay Kumar is affiliated with Cape Regional Medical Center Inc, Jefferson Stratford Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Kumar was last updated on September 12, 2012. 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.