DR. SANDOLSAM CHA
NPI 1730576919
Obstetrics & Gynecology in Elizabeth, NJ

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment
1171 ELIZABETH AVE, ELIZABETH, NJ 07201(908) 351-5384 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Jun 28, 2021 (2 updates tracked since 2021).

About Dr. Sandolsam Cha NPPES

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

DR. SANDOLSAM CHA (NPI 1730576919) is an individual obstetrics & gynecology provider in Elizabeth, New Jersey, licensed in New Jersey (25MA11436700) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730576919
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SANDOLSAM CHA
Location Address1171 ELIZABETH AVEElizabeth, NJ 07201-2200
Mailing Address305 E 161st StBronx, NY 10451-3535 · (718) 579-2568 · Fax (718) 410-3443
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 24, 2015
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1730576919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NJ · 25MA11436700 Licensed in PA · MD483547 Licensed in NY · 295891
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1171 ELIZABETH AVE, Elizabeth, NJ 07201

Secondary Practice Locations 3

Location 1305 E 161st StBronx, NY 10451-3535 · Phone (718) 579-2568
Location 269 Newman Springs Rd EShrewsbury, NJ 07702-4038 · Phone (732) 842-9300
Location 31201 Langhorne Newtown RdLanghorne, PA 19047-1201 · Phone (215) 710-2000 · Fax (215) 710-4633

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. Sandolsam Cha 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 ID8527306109
PECOS Enrollment IDI20230131003142
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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07201 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 6

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

Nurse Practitioner (Family)
1171 ELIZABETH AVE, 1171 ELIZABETH AVE
ELIZABETH, NJ 07201
Nurse Practitioner (Women's Health)
1171 ELIZABETH AVE
ELIZABETH, NJ 07201
Urology
1171 ELIZABETH AVE
ELIZABETH, NJ 07201
Nurse Practitioner (Family)
1171 ELIZABETH AVE
ELIZABETH, NJ 07201
Clinic/Center (Ambulatory Family Planning Facility)
1171 ELIZABETH AVE
ELIZABETH, NJ 07201
Nurse Practitioner (Women's Health)
1171 ELIZABETH AVE
ELIZABETH, NJ 07201

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 Sandolsam Cha's NPI number?

The NPI number for Sandolsam Cha is 1730576919. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Sandolsam Cha located?

Sandolsam Cha practices at 1171 Elizabeth Ave, Elizabeth, NJ 07201. The listed phone number is (908) 351-5384.

What is Sandolsam Cha's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sandolsam Cha enrolled in Medicare?

Yes. Sandolsam Cha 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 Sandolsam Cha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sandolsam Cha 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 Sandolsam Cha affiliated with any hospitals?

According to CMS data, Sandolsam Cha is affiliated with Valley Hospital and St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Sandolsam Cha was last updated on May 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.