DR. SANKALP PATHAK MD
NPI 1316388234
Internal Medicine - Interventional Cardiology in Newark, NJ

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
337 BLOOMFIELD AVE, NEWARK, NJ 07107(973) 370-5259(610) 638-0771 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2025, Sep 8, 2025, Oct 4, 2022 and 5 more (8 updates tracked since 2017).

About Dr. Sankalp Pathak Md NPPES

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

DR. SANKALP PATHAK MD (NPI 1316388234) is an individual interventional cardiology provider in Newark, New Jersey, licensed in New Jersey (25MA10159100) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316388234
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SANKALP PATHAKCredential: MD
Location Address337 BLOOMFIELD AVENewark, NJ 07107-2405
Mailing Address971 Us Highway 202 N Ste 5135Branchburg, NJ 08876-3757 · (973) 370-5259
Fax(610) 638-0771
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 8, 2013
Last NPPES UpdateNovember 25, 20258 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1316388234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NJ · 25MA10159100
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10159100 (NJ)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA10159100 (NJ)
337 BLOOMFIELD AVE, Newark, NJ 07107

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. Sankalp Pathak Md 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 ID4385074004
PECOS Enrollment IDI20220628003212
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 50

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.
524 services218 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
480 services239 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
440 services64 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
440 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
435 services220 patients
Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days 99091
This service involves gathering and analyzing health data from a patient, which is digitally stored and sent to a healthcare professional. This may include heart rate, blood pressure, or blood sugar levels. The process takes at least 30 minutes and is repeated every 30 days.
390 services62 patients

Hospital Affiliations CMS Care Compare 5

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07107 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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 6

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

Internal Medicine
337 BLOOMFIELD AVE, APARTMENT A-2
NEWARK, NJ 07107
Clinic/Center (Primary Care)
337 BLOOMFIELD AVE
NEWARK, NJ 07107
Internal Medicine
337 BLOOMFIELD AVE
NEWARK, NJ 07107
Internal Medicine (Nephrology)
337 BLOOMFIELD AVE
NEWARK, NJ 07107
Orthopaedic Surgery (Foot and Ankle Surgery)
337 BLOOMFIELD AVE
NEWARK, NJ 07107
Internal Medicine (Cardiovascular Disease)
337 BLOOMFIELD AVE
NEWARK, NJ 07107

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 Sankalp Pathak's NPI number?

The NPI number for Sankalp Pathak is 1316388234. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Sankalp Pathak located?

Sankalp Pathak practices at 337 Bloomfield Ave, Newark, NJ 07107. The listed phone number is (973) 370-5259.

What is Sankalp Pathak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sankalp Pathak enrolled in Medicare?

Yes. Sankalp Pathak 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 Sankalp Pathak accept?

Health plans from AmeriHealth Caritas Next list Sankalp Pathak 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 Sankalp Pathak affiliated with any hospitals?

According to CMS data, Sankalp Pathak is affiliated with Morristown Medical Center, Newton Medical Center, Saint Clare's Hospital/ Denville Campus, Cooperman Barnabas Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Sankalp Pathak was last updated on November 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.