DR. CARLOS ALFONSO SANCHEZ (DO) – Family Medicine Physician, NPI 1255624896
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,515 FAMILY PRACTICE in NJ
Provider Addresses for DR. CARLOS ALFONSO SANCHEZ (DO)
617 BROAD ST
NEWARK, NJ 071024403
Phone: (862) 246-7940
Fax: (862) 246-7941
Type: Location
1345 RXR PLZ FL 13
UNIONDALE, NY 115561301
Phone: (516) 453-0435
Fax: (646) 846-3283
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140924001533 | I | Family Practice | NY | TBD |
| I20190813000144 | I | Family Practice | NJ | TBD |
| I20241022000211 | I | Family Practice | VT | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 380 | 109 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 79 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 52 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 43 | 40 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 31 | 29 | $0 |
Insurance plans in this area (ZIP 07102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | PA | |
| - | FL | |
| - | NY | |
| Emergency Medicine | NY | |
| - | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Family Practice | NY | |
| Family Practice | NY |
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