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PRASHANT SINHA M.D.
NPI 1790854735
Surgery in Newark, NJ

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
201 LYONS AVE # F4, NEWARK, NJ 07112(973) 926-6217(973) 926-2997 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2026, Jul 11, 2022, Apr 2, 2021 (3 updates tracked since 2021).

About Prashant Sinha M.d. NPPES

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

PRASHANT SINHA M.D. (NPI 1790854735) is an individual surgery provider in Newark, New Jersey, licensed in New Jersey (25MA08530800) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2002).

NPPES Registry Identity

NPI1790854735
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePRASHANT SINHACredential: M.D.
Location Address201 LYONS AVE # F4Newark, NJ 07112-2027
Mailing Address201 Lyons Ave # F4Newark, NJ 07112-2027 · (973) 926-6217 · Fax (973) 926-2997
Phone(973) 926-6217
Fax(973) 926-2997
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2002
Enumeration DateNovember 6, 2006
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1790854735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA08530800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
201 LYONS AVE # F4, Newark, NJ 07112
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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

Prashant Sinha 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 ID3577637958
PECOS Enrollment IDI20090429000434
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 2

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.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

SUKRITI BANSAL
Surgery
201 LYONS AVE # F4
NEWARK, NJ 07112
Essex County (973) 926-7331
AHMED ABDELMONEM PA-C
Neurological Surgery
201 LYONS AVE # F4
NEWARK, NJ 07112
Essex County (718) 818-9739
DR. KHALID ZUHAYR TABBARAH M.D.
Psychiatry & Neurology (Neurology)
201 LYONS AVE # F4
NEWARK, NJ 07112
Essex County (973) 926-7331

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 Prashant Sinha's NPI number?

The NPI number for Prashant Sinha is 1790854735. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Prashant Sinha located?

Prashant Sinha practices at 201 Lyons Ave # F4, Newark, NJ 07112. The listed phone number is (973) 926-6217.

What is Prashant Sinha's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Prashant Sinha enrolled in Medicare?

Yes. Prashant Sinha 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.

Is Prashant Sinha affiliated with any hospitals?

According to CMS data, Prashant Sinha is affiliated with Newark Beth Israel Medical Center and Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Prashant Sinha was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.