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MS. SONALI DHIR APN
NPI 1760981237
Nurse Practitioner - Family in Toms River, NJ

Active since February 09, 2018PECOS EnrolledAccepts Medicare Assignment
REDICLINIC TOMS RIVER 811 FISCHER BLVD, REDICLINIC TOMS RIVER, TOMS RIVER, NJ 08753(732) 929-3440 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Sonali Dhir Apn NPPES

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

MS. SONALI DHIR APN (NPI 1760981237) is an individual family provider in Toms River, New Jersey, licensed in New Jersey (26NJ00801300) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760981237
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SONALI DHIRCredential: APN
Location AddressREDICLINIC TOMS RIVER 811 FISCHER BLVD, REDICLINIC TOMS RIVERToms River, NJ 08753
Mailing Address811 Fisher BlvdToms River, NJ 08753 · (732) 929-3440
Phone(732) 929-3440
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 9, 2018
Last NPPES UpdateMarch 20, 2018
✔ NPI 1760981237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00801300
REDICLINIC TOMS RIVER 811 FISCHER BLVD, Toms River, NJ 08753
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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.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

Ms. Sonali Dhir Apn 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 ID7911260740
PECOS Enrollment IDI20180410000061
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

3

Medicare enrollment records show Sonali Dhir reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Cancer Care Of New Jersey,pc
4.0 mi
Hematology & Oncology
40 BEY LEA RD, SUITE B 102
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1255529244 (732) 244-3380
Regional Cancer Care Associates LLC
4.0 mi
Hematology & Oncology
40 BEY LEA RD STE A202
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 247 clinicians in this Medicare group
NPI 1801850243 (732) 367-1535
Hackensack Meridian Health Medical Group - Specialty Care PC
25 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,030 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%751 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%1,255 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%1,255 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%1,255 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%1,255 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sonali Dhir's NPI number?

The NPI number for Sonali Dhir is 1760981237. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Where is Sonali Dhir located?

Sonali Dhir practices at Rediclinic Toms River 811 Fischer Blvd Rediclinic Toms River, Toms River, NJ 08753. The listed phone number is (732) 929-3440.

What is Sonali Dhir's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sonali Dhir enrolled in Medicare?

Yes. Sonali Dhir 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 Sonali Dhir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonali Dhir reassigns Medicare benefits to 3 organizations: Advanced Cancer Care Of New Jersey,pc (Toms River, NJ), Regional Cancer Care Associates LLC (Toms River, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Sonali Dhir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonali Dhir accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sonali Dhir 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 Sonali Dhir affiliated with any hospitals?

According to CMS data, Sonali Dhir is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Sonali Dhir was last updated on March 20, 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.