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: August 02, 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
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

Secondary Practice Locations 2

Location 130 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-4450 · Fax (551) 996-5729
Location 2655 E Jersey StElizabeth, NJ 07206-1259 · Phone (908) 994-7207 · Fax (908) 994-7503

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. 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.

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.

Specialist
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Anesthesiology
355 GRAND ST
JERSEY CITY, NJ 07302
Internal Medicine
355 GRAND ST, MEDICINE DEPT,3RD FLOOR
JERSEY CITY, NJ 07302
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ 07302
Internal Medicine
355 GRAND ST
JERSEY CITY, NJ 07302
Social Worker
355 GRAND ST
JERSEY CITY, NJ 07302
Student in an Organized Health Care Education/Training Program
355 GRAND ST
JERSEY CITY, NJ 07302
Emergency Medicine
355 GRAND ST, JERSEY CITY MEDICAL CENTER ( EMERGENCY DEPARTMENT)
JERSEY CITY, NJ 07302

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.

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 22 months 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.