DR. SANJAY AHLAWAT – Adult Health Nurse Practitioner, NPI 1245485895

DR. SANJAY AHLAWAT is a healthcare provider. based in Newark, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ00663700 (NJ). The NPI Number for DR. SANJAY AHLAWAT is 1245485895

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANJAY AHLAWAT
NPI
1245485895
Phone
(201) 675-1900
Address
741 BROADWAY
Enumeration Date
24 November 2008
Last Update Date
5 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018395016
Graduation Year
2016 (10 years ago)
PAC ID
4688917594
Group Practice PAC ID
2961762554
Professional Enrollment ID
I20190516001863
Address ID
NJ070133502CL992XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

17,004 NURSE PRACTITIONER in NY

Provider Addresses for DR. SANJAY AHLAWAT

  • 741, Broadway, Newark, Essex County, New Jersey, 07104, United States

    NEWARK, NJ 071044309

    Phone: (201) 675-1900

    Fax: (973) 676-1396

    Type: Mailing

  • 1650 Grand Concourse

    Bronx, NY 104577606

    Phone: (718) 518-5000

    Fax: (718) 518-5124

    Type: Location

  • 741 Broadway

    Newark, NJ 07104

    Phone: (201) 675-1900

    Type: Location

  • 9 ASPEN RD

    WEST ORANGE, NJ 070521201

    Phone: (862) 216-4879

    Type: Mailing

  • 42 THROCKMORTON LN

    OLD BRIDGE, NJ 088572572

    Phone: (732) 607-1111

    Fax: (732) 607-0552

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Exact Sciences Corporation ($66).

Total Amount

$157

General + Research + Ownership

Payments

8

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190516001863INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961762554View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physician AssistantPA
Internal MedicineNJ
P S Y C H I A T R YNY
Nurse PractitionerFL
Nurse PractitionerNY
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

Can I cross-check DR. SANJAY AHLAWAT using NPI 1245485895?
NPI 1245485895 belongs to DR. SANJAY AHLAWAT; compare other details if you need extra assurance.
Active or inactive — what applies to DR. SANJAY AHLAWAT?
You should see DR. SANJAY AHLAWAT as active in CMS-hosted NPPES data.
What area of care is associated with DR. SANJAY AHLAWAT?
DR. SANJAY AHLAWAT's record emphasizes Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DR. SANJAY AHLAWAT associated with Newark?
Public fields place DR. SANJAY AHLAWAT around Newark, New Jersey. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. SANJAY AHLAWAT is noted as November 24, 2008 where the registry provides it.

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