DR. SAPNA JAIN MD
NPI 1568415990
Internal Medicine in Colonia, NJ

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
805 INMAN AVE, COLONIA, NJ 07067(732) 340-0007(732) 340-0777 Get Directions Write a Review

NPPES record last updated: November 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sapna Jain Md NPPES

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

DR. SAPNA JAIN MD (NPI 1568415990) is an individual internal medicine provider in Colonia, New Jersey, licensed in New Jersey (25MA07300600) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1568415990
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAPNA JAINCredential: MD
Location Address805 INMAN AVEColonia, NJ 07067
Mailing Address1024 Park Ave, Suite 6aPlainfield, NJ 07060 · (908) 222-8400 · Fax (908) 222-8402
Fax(732) 340-0777
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 18, 2006
Last NPPES UpdateNovember 11, 2010
NPI 1568415990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA07300600
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
805 INMAN AVE, Colonia, NJ 07067

Other Identifiers 2

Medicare PIN067475XEDNJ
Medicaid0146757NJ

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. Sapna Jain 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 ID6406881895
PECOS Enrollment IDI20051005000056
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 13

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 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.
303 services102 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
125 services72 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
84 services41 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
43 services43 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.
40 services38 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
39 services27 patients

Hospital Affiliations CMS Care Compare

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07067 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims27 services$6.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Internal Medicine
805 INMAN AVE
COLONIA, NJ 07067
Pediatrics
805 INMAN AVE
COLONIA, NJ 07067
Pediatrics
805 INMAN AVE
COLONIA, NJ 07067
Dentist (General Practice)
805 INMAN AVE
COLONIA, NJ 07067
Nurse Practitioner (Psychiatric/Mental Health)
805 INMAN AVE
COLONIA, NJ 07067
Nurse Practitioner (Psychiatric/Mental Health)
805 INMAN AVE
COLONIA, NJ 07067
Dentist (General Practice)
805 INMAN AVE
COLONIA, NJ 07067

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 Sapna Jain's NPI number?

The NPI number for Sapna Jain is 1568415990. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Sapna Jain located?

Sapna Jain practices at 805 Inman Ave, Colonia, NJ 07067. The listed phone number is (732) 340-0007.

What is Sapna Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sapna Jain enrolled in Medicare?

Yes. Sapna Jain 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 Sapna Jain accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sapna Jain 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 Sapna Jain affiliated with any hospitals?

According to CMS data, Sapna Jain is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Sapna Jain was last updated on November 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.