RANDOLPH SANCHEZ M.D.
NPI 1508244898
Internal Medicine - Rheumatology in Sewell, NJ

Q: What is Randolph Sanchez's NPI number?

The NPI number for Randolph Sanchez is 1508244898. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Q: What is Randolph Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Sanchez was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

150 DELSEA DR STE B, SEWELL, NJ 08080(856) 302-0500 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Randolph Sanchez M.d. NPPES

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

RANDOLPH SANCHEZ M.D. (NPI 1508244898) is an individual rheumatology provider in Sewell, New Jersey, licensed in New Jersey (25MA10883900) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1508244898

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameRANDOLPH SANCHEZCredential: M.D.

Location Address150 DELSEA DR STE BSewell, NJ 08080-9478

Mailing Address401 Route 73 N Ste 320Marlton, NJ 08053-3426

Phone(856) 302-0500

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateMay 7, 2015

Last NPPES UpdateOctober 27, 2020

NPPES CertifiedOctober 27, 2020

✔ NPI 1508244898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in NJ · 25MA10883900

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

150 DELSEA DR STE B, Sewell, NJ 08080

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Secondary Practice Location 1

Location 1451 Clarkson AveBrooklyn, NY 11203-2054 · Phone (501) 766-8949

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

Randolph Sanchez 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 ID5294150231

PECOS Enrollment IDI20200807000401

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 8

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,380 services16 patients

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.

555 services216 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.

87 services87 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

53 services31 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

46 services23 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.

41 services22 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ

2/5 CMS rating

OwnershipProprietary

CMS Certification Number310054

Location1 Bay AvenueMontclair, NJ 07042 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 5

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

SHANNON KIRBY LUTZ PA-C

Physician Assistant (Medical)