DR. SUMIT TALWAR M.D.
NPI 1679752547
Internal Medicine - Hematology in Jersey City, NJ

Q: What is Sumit Talwar's NPI number?

The NPI number for Sumit Talwar is 1679752547. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Q: What is Sumit Talwar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Talwar was last updated on June 28, 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.

Active since October 29, 2007PECOS EnrolledAccepts Medicare Assignment

377 JERSEY AVE, JERSEY CITY, NJ 07302(201) 333-8248(201) 333-8469 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2024, Apr 22, 2024, Nov 25, 2015 (3 updates tracked since 2015).

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About Dr. Sumit Talwar M.d. NPPES

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

DR. SUMIT TALWAR M.D. (NPI 1679752547) is an individual hematology provider in Jersey City, New Jersey, licensed in New Jersey (25MA09637300) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1679752547

Entity TypeIndividualMale

Primary Taxonomy207RH0000X

Provider Legal NameDR. SUMIT TALWARCredential: M.D.

Location Address377 JERSEY AVEJersey City, NJ 07302-4393

Mailing Address377 Jersey AveJersey City, NJ 07302-4393 · (201) 333-8248 · Fax (201) 333-8469

Phone(201) 333-8248

Fax(201) 333-8469

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 29, 2007

Last NPPES UpdateJune 28, 20243 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1679752547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0000X

License✔ Licensed in NJ · 25MA09637300

Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 268855 (NY)

377 JERSEY AVE, Jersey City, NJ 07302

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Accepted Insurance

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

Dr. Sumit Talwar 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 ID244488781

PECOS Enrollment IDI20151230000393

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

Medicare enrollment records show Sumit Talwar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC

9.5 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

Essen Medical Associates, PC

12 mi

Legal Medicine

2015 GRAND CONCOURSE
Bronx, NY 10453

Reassigned Medicare billing, New York enrollment
1,393 clinicians in this Medicare group

NPI 1366418709 (718) 583-7736

Barnabas Health Medical Group, PC

14 mi

Specialist

95 OLD SHORT HILLS RD
West Orange, NJ 07052

Reassigned Medicare billing, New Jersey enrollment
757 clinicians in this Medicare group

NPI 1447206420 (888) 724-7123

Mary Imogene Bassett Hospital

144 mi

Multi-Specialty

1 ATWELL RD
Cooperstown, NY 13326

Reassigned Medicare billing, New York enrollment
496 clinicians in this Medicare group

NPI 1083664221 (607) 547-6858

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 9

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.

1,229 services613 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.

378 services217 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

339 services183 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.

206 services135 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.

106 services106 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

78 services70 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310041

Location99 Rt 37 WestToms River, NJ 08755 · Ocean County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310075

Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County

Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

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

$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 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier16 claims16 services$18.35 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier16 claims18 services$35.70 avg. paid by Medicare

Injection, fluorouracil, 500 mg J9190

Treatment-Chemotherapy · category RH002N

1 supplier16 claims190 services$1.44 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 20

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

GRIGORIU, LLC

Internal Medicine (Pulmonary Disease)

377 JERSEY AVE, SUITE 470
JERSEY CITY, NJ 07302

Hudson County (201) 918-2239

DR. ALITA LOGRONO DIZON M.D.

Internal Medicine (Gastroenterology)

377 JERSEY AVE, SUITE 460
JERSEY CITY, NJ 07302

Hudson County (201) 332-4110

BERTHA MAYORQUIN M.D.

Internal Medicine

377 JERSEY AVE, SUITE 470
JERSEY CITY, NJ 07302

Hudson County (201) 918-2239

RWJBARNABAS

Clinic/Center (Medical Specialty)

377 JERSEY AVE, 220
JERSEY CITY, NJ 07302

Hudson County (201) 309-2380

MRS. JYOTI S MATTA MD

Internal Medicine (Pulmonary Disease)

377 JERSEY AVE, STE 470
JERSEY CITY, NJ 07302

Hudson County (201) 918-2239

MRS. AMIE E GLASSER

Registered Nurse (Administrator)

377 JERSEY AVE
JERSEY CITY, NJ 07302

Hudson County (201) 499-3879

MUKUL VISHWAKARMA

Physical Therapist

377 JERSEY AVE, SUITE 310
JERSEY CITY, NJ 07302

Hudson County (201) 499-3891

LONG-GUE HU MD

Obstetrics & Gynecology

377 JERSEY AVE, SUITE 220
JERSEY CITY, NJ 07302

Hudson County (201) 309-2380

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 Sumit Talwar's NPI number?

The NPI number for Sumit Talwar is 1679752547. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Sumit Talwar located?

Sumit Talwar practices at 377 Jersey Ave, Jersey City, NJ 07302. The listed phone number is (201) 333-8248.

What is Sumit Talwar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Sumit Talwar enrolled in Medicare?

Yes. Sumit Talwar 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 Sumit Talwar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumit Talwar reassigns Medicare benefits to 4 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), Essen Medical Associates, PC (Bronx, NY), Barnabas Health Medical Group, PC (West Orange, NJ) and Mary Imogene Bassett Hospital (Cooperstown, NY). 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 Sumit Talwar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumit Talwar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sumit Talwar 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 Sumit Talwar affiliated with any hospitals?

According to CMS data, Sumit Talwar is affiliated with Riverview Medical Center, Community Medical Center, Ocean Medical Center, Monmouth Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Sumit Talwar was last updated on June 28, 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.