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SUDHANSHU JAIN M.D.
NPI 1720287295
Internal Medicine - Nephrology in Manalapan, NJ

Active since July 16, 2007PECOS Enrolled
28 PLAZA 9 STE A, MANALAPAN, NJ 07726(732) 508-2136(714) 276-2868 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Mar 26, 2026, Aug 3, 2022 (3 updates tracked since 2022).

About Sudhanshu Jain M.d. NPPES

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

SUDHANSHU JAIN M.D. (NPI 1720287295) is an individual nephrology provider in Manalapan, New Jersey, licensed in New York (269730) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1720287295
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSUDHANSHU JAINCredential: M.D.
Location Address28 PLAZA 9 STE AManalapan, NJ 07726-3020
Mailing Address2 Cozy DrManalapan, NJ 07726-8836 · (216) 233-2728
Phone(732) 508-2136
Fax(714) 276-2868
Sole ProprietorNo
Enumeration DateJuly 16, 2007
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1720287295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in NY · 269730✔ Licensed in NJ · 25MA11671300
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
28 PLAZA 9 STE A, Manalapan, NJ 07726
Open in Google Maps ↗

Secondary Practice Location 1

Location 1506 Lenox Ave, suite 1203New York, NY 10037-1802 · Phone (212) 939-1466 · Fax (212) 939-1745

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudhanshu Jain M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

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

Manhattan Wellness Psychiatry PLLC
Same address
Psychiatry
28 BRIAR HILL DR STE 1
Manalapan, NJ 07726
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1104620905 (646) 812-5355
Harlem Medical Associates PC
40 mi
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1487957692 (631) 675-9300
Monogram Health Professional Services Of North Carolina PC
439 mi
Nephrology
615 SAINT GEORGE SQUARE CT STE 300
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 31 clinicians in this Medicare group
NPI 1366162885 (615) 673-4455
Monogram Health Professional Services PC
741 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 67 clinicians in this Medicare group
NPI 1134739089 (615) 465-8684

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07726 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.

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 Sudhanshu Jain's NPI number?

The NPI number for Sudhanshu Jain is 1720287295. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Sudhanshu Jain located?

Sudhanshu Jain practices at 28 Plaza 9 Ste A, Manalapan, NJ 07726. The listed phone number is (732) 508-2136.

What is Sudhanshu Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sudhanshu Jain enrolled in Medicare?

Yes. Sudhanshu Jain is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sudhanshu Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudhanshu Jain reassigns Medicare benefits to 4 organizations: Manhattan Wellness Psychiatry PLLC (Manalapan, NJ), Harlem Medical Associates PC (New York, NY), Monogram Health Professional Services Of North Carolina PC (Winston Salem, NC) and Monogram Health Professional Services PC (Brentwood, TN). 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 Sudhanshu Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudhanshu Jain accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sudhanshu 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.

When was this NPI record last updated?

The NPPES record for Sudhanshu Jain was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.