NPI Details
DR. Sanjay Kavathia, M.D. is an internal medicine in Hackettstown, NJ with 31 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Sanjay Kavathia, M.D. NPI is 1124078142. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
616 WILLOW GROVE ST
UNIT 1A
HACKETTSTOWN, NJ
ZIP 07840-779
Phone: (908) 852-8484
Fax: (908) 852-4197
The NPI 1124078142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
- Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
- Hospital discharge day management, more than 30 minutes (HCPCS:99239)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Critical care, first 30-74 minutes (HCPCS:99291)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
The enumeration date for this NPI number is 5/11/2006 and was last updated on 2/5/2015.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | MA072670 | NEW JERSEY | No |
| 2 | 207R00000X | Internal Medicine | | 25MA07267000 | NEW JERSEY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | AMERIGROUP | OTHER | NEW JERSEY | GP10 |
| 2 | H47591 | MEDICARE UPIN | NEW JERSEY | |
| 3 | DC6255 | OTHER | NEW JERSEY | RAILROAD MEDICARE |
| 4 | 050733TND | MEDICARE ID-TYPE UNSPECIFIED | NEW JERSEY | PROVIDER ID |
| 5 | P2530863 | OTHER | NEW JERSEY | OXFORD |
| 6 | 000133641 | OTHER | NEW JERSEY | AETNA HMO |
| 7 | 0228763 | OTHER | NEW JERSEY | UNITED HEALTHCARE |
| 8 | 2619378 | OTHER | NEW JERSEY | AETNA PPO |
| 9 | 8684308 | MEDICAID | NEW JERSEY | |
| 10 | 086789 | MEDICARE ID-TYPE UNSPECIFIED | NEW JERSEY | GROUP ID |
