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SUNITA JADHAV NP
NPI 1750044145
Dermatology in Toms River, NJ

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1580 LAKEWOOD RD STE 16A, TOMS RIVER, NJ 08755(732) 966-5493 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2026, Sep 22, 2022, Oct 21, 2021 (3 updates tracked since 2021).

About Sunita Jadhav Np NPPES

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

SUNITA JADHAV NP (NPI 1750044145) is an individual dermatology provider in Toms River, New Jersey, licensed in New Jersey (1003263807) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750044145
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSUNITA JADHAVCredential: NP
Location Address1580 LAKEWOOD RD STE 16AToms River, NJ 08755-3287
Mailing Address200 Perrine Rd Ste 226Old Bridge, NJ 08857-2871 · (732) 456-7777
Phone(732) 966-5493
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2021
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1750044145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 1003263807
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1580 LAKEWOOD RD STE 16A, Toms River, NJ 08755
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Sunita Jadhav Np 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 ID6305237900
PECOS Enrollment IDI20211215000691
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 Reassignment

Medicare enrollment records show Sunita Jadhav reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nj Certified Dermatology PC
17 mi
Dermatology
26 HIGHWAY 35 N
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 44 clinicians in this Medicare group
NPI 1003263807 (732) 456-7777

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 8

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.
150 services86 patients
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.
54 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Shaving of skin growth of body, arms, or legs, 0.5 cm or less 11300
This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.
35 services21 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
28 services27 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Sunita Jadhav's NPI number?

The NPI number for Sunita Jadhav is 1750044145. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Sunita Jadhav located?

Sunita Jadhav practices at 1580 Lakewood Rd Ste 16A, Toms River, NJ 08755. The listed phone number is (732) 966-5493.

What is Sunita Jadhav's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sunita Jadhav enrolled in Medicare?

Yes. Sunita Jadhav 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 organization bills Medicare for Sunita Jadhav's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunita Jadhav reassigns Medicare benefits to Nj Certified Dermatology PC (Neptune, NJ). The 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 Sunita Jadhav's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunita Jadhav accept?

Health plans from Oscar Health list Sunita Jadhav 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 Sunita Jadhav was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.