LAKEHURST PROFESSIONAL MEDICAL GROUP LLC
NPI 1629553565
Internal Medicine in Toms River, NJ

Active since September 26, 2018
25 MULE RD UNIT B8, TOMS RIVER, NJ 08755(732) 240-4000(732) 240-1441 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakehurst Professional Medical Group Llc NPPES

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

LAKEHURST PROFESSIONAL MEDICAL GROUP LLC (NPI 1629553565) is a healthcare organization registered as an internal medicine in Toms River, New Jersey and active in the NPI registry since September 2018. The organization lists Vinod Sancheti, Owner, as its authorized official.

NPPES Registry Identity

NPI1629553565
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKEHURST PROFESSIONAL MEDICAL GROUP LLC
Location Address25 MULE RD UNIT B8Toms River, NJ 08755-5037
Mailing Address25 Mule Rd Unit B8Toms River, NJ 08755-5037 · (732) 240-4000 · Fax (732) 240-1441
Fax(732) 240-1441
Organization SubpartNo
Authorized OfficialVinod SanchetiOwner · (732) 240-4000
Enumeration DateSeptember 26, 2018
✔ NPI 1629553565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
25 MULE RD UNIT B8, Toms River, NJ 08755

Other Identifiers 1

Other25MA06779200NJ · State Licence

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakehurst Professional Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Lakehurst Professional Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1437176088
25 MULE RD UNIT B8
Toms River, NJ 08755
(732) 240-4000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1790732089
19 MULE RD SUITE C-8
Toms River, NJ 08755
(732) 244-4777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679926539
137 HIGH ST FL 2A
Mount Holly, NJ 08060
(609) 474-0120
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1275932774
137 HIGH ST SUITE 2A
Mount Holly, NJ 08060
(609) 447-3442
✔ PECOS29 mi
Gastroenterology
NPI 1346232097
91550 OVERSEAS HWY STE 205
Tavernier, FL 33070
(305) 434-3400
✔ PECOS✔ Accepts Medicare1,094 mi

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

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 Lakehurst Professional Medical Group LLC's NPI number?

The NPI number for Lakehurst Professional Medical Group LLC is 1629553565. It was assigned to this organization in the NPPES registry on September 26, 2018.

Where is Lakehurst Professional Medical Group LLC located?

Lakehurst Professional Medical Group LLC is located at 25 Mule Rd Unit B8, Toms River, NJ 08755. The listed phone number is (732) 240-4000.

What is Lakehurst Professional Medical Group LLC's specialty?

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

Is Lakehurst Professional Medical Group LLC enrolled in Medicare?

Yes. Lakehurst Professional Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakehurst Professional Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Lakehurst Professional Medical Group LLC, in Family Practice, Gastroenterology, Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakehurst Professional Medical Group LLC was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.