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DR. EMMANUEL SANCHEZ MD
NPI 1427538271
Psychiatry & Neurology - Psychiatry in Jersey City, NJ

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
355 GRAND ST, JERSEY CITY, NJ 07302(201) 915-2000 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2024, Apr 18, 2024, Apr 9, 2024 and 4 more (7 updates tracked since 2018).

About Dr. Emmanuel Sanchez Md NPPES

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

DR. EMMANUEL SANCHEZ MD (NPI 1427538271) is an individual psychiatry provider in Jersey City, New Jersey, licensed in New Jersey (25MA10992900) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427538271
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EMMANUEL SANCHEZCredential: MD
Location Address355 GRAND STJersey City, NJ 07302-4321
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Phone(201) 915-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 20, 2018
Last NPPES UpdateSeptember 11, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1427538271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA10992900
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 25MA10992900 (NJ)
355 GRAND ST, Jersey City, NJ 07302
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1655 E Jersey StElizabeth, NJ 07206-1259 · Phone (908) 994-7207 · Fax (908) 994-7503
Location 230 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-4450 · Fax (551) 996-5729

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emmanuel Sanchez 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 ID3476938044
PECOS Enrollment IDI20220917000057
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Emmanuel Sanchez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group, PC
14 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Rwjbh Observation Associates LLC
14 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Hmh Carrier Behavioral Health Inc
25 mi
Psychiatric Hospital
1071 RAMAPO VALLEY RD
Mahwah, NJ 07430
  • Reassigned Medicare billing, New Jersey enrollment
  • 46 clinicians in this Medicare group
NPI 1275158529 (833) 734-0171
Hackensack Meridian Health Medical Group - Specialty Care PC
26 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

JERSEY CITY CRITICAL CARE ASSOCIATES
Specialist
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (908) 806-8224
SHERIDAN ANESTHESIA SERVICES OF NEW JERSEY PC
Anesthesiology
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SAIRA SHAH MD
Internal Medicine
355 GRAND ST, MEDICINE DEPT,3RD FLOOR
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
SUSAN E. O'BRIEN DO
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
DR. JARED SAUL KROK M.D.
Internal Medicine
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2431
ANIELLO SEMIOLI LSW
Social Worker
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 492-1296
SUMEETA BHOGAL MD
Student in an Organized Health Care Education/Training Program
355 GRAND ST
JERSEY CITY, NJ 07302
Hudson County (201) 915-2000
LIBERTY EMERGENCY MEDICAL ASSOCIATES LLC
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER ( EMERGENCY DEPARTMENT)
JERSEY CITY, NJ 07302
Hudson County (469) 401-2386

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 Emmanuel Sanchez's NPI number?

The NPI number for Emmanuel Sanchez is 1427538271. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Emmanuel Sanchez located?

Emmanuel Sanchez practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (201) 915-2000.

What is Emmanuel Sanchez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Emmanuel Sanchez enrolled in Medicare?

Yes. Emmanuel 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.

Which organizations bill Medicare for Emmanuel Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmanuel Sanchez reassigns Medicare benefits to 4 organizations: Barnabas Health Medical Group, PC (West Orange, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Hmh Carrier Behavioral Health Inc (Mahwah, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmanuel Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emmanuel Sanchez accept?

Health plans from Oscar Health list Emmanuel 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.

When was this NPI record last updated?

The NPPES record for Emmanuel Sanchez was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.