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BIREN P SARAIYA M.D.
NPI 1518173665
Internal Medicine - Medical Oncology in New Brunswick, NJ

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
195 LITTLE ALBANY ST., THE CANCER INSTITUTE OF NEW JERSEY RM 5542, NEW BRUNSWICK, NJ 08903(732) 235-6777(732) 235-8495 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2024, Apr 9, 2024 (2 updates tracked since 2024).

About Biren P Saraiya M.d. NPPES

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

BIREN P SARAIYA M.D. (NPI 1518173665) is an individual medical oncology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA07824500) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2002).

NPPES Registry Identity

NPI1518173665
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameBIREN P SARAIYACredential: M.D.
Location Address195 LITTLE ALBANY ST., THE CANCER INSTITUTE OF NEW JERSEY RM 5542New Brunswick, NJ 08903
Mailing Address195 Little Albany St., The Cancer Institute Of New Jersey Rm 5542New Brunswick, NJ 08903 · (732) 235-6777 · Fax (732) 235-8495
Phone(732) 235-6777
Fax(732) 235-8495
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2002
Enumeration DateMay 15, 2007
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1518173665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NJ · 25MA07824500
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA07824500 (NJ)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 25MA07824500 (NJ)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 25MA07824500 (NJ)
195 LITTLE ALBANY ST., New Brunswick, NJ 08903
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Other Identifiers 2

OtherP00953313NJ · Rr Mcr Ptan
Medicaid0169226NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Biren P Saraiya 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 ID3678640661
PECOS Enrollment IDI20080917000060
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

2

Medicare enrollment records show Biren Saraiya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutgers Health-Rwj Scleroderma Program
Same address
Pediatric Hematology-Oncology
195 LITTLE ALBANY ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
NPI 1104842285 (732) 235-6455
Professional Service Fund Of Deborah Heart & Lung Center
37 mi
Specialist
200 TRENTON RD
Browns Mills, NJ 08015
  • Reassigned Medicare billing, New Jersey enrollment
  • 222 clinicians in this Medicare group
NPI 1407803596 (609) 893-1200

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 7

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.
233 services112 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.
132 services65 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services11 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.
17 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08903 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
$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 2

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

SARAH NASHED MS, CGC
Genetic Counselor, MS
195 LITTLE ALBANY ST., SUITE 1135
NEW BRUNSWICK, NJ 08903
Middlesex County (732) 235-7110
MR. MARK COOGAN
Nurse Practitioner
195 LITTLE ALBANY ST.
NEW BRUNSWICK, NJ 08903
Middlesex County (732) 235-2465

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 Biren Saraiya's NPI number?

The NPI number for Biren Saraiya is 1518173665. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Biren Saraiya located?

Biren Saraiya practices at 195 Little Albany St. The Cancer Institute Of New Jersey Rm 5542, New Brunswick, NJ 08903. The listed phone number is (732) 235-6777.

What is Biren Saraiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Biren Saraiya enrolled in Medicare?

Yes. Biren Saraiya 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 Biren Saraiya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Biren Saraiya reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ) and Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, 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 Biren Saraiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Biren Saraiya accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Biren Saraiya 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 Biren Saraiya affiliated with any hospitals?

According to CMS data, Biren Saraiya is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Biren Saraiya was last updated on May 16, 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.