Dr John M Sundheim, MD - Medicare Internal Medicine in Toms River, NJ

Dr John M Sundheim, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Toms River, New Jersey. His current practice location is 1433 Hooper Ave 230, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 818-6800.

Dr John M Sundheim is licensed to practice in New Jersey (license number MA35415) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093795015.

Contact Information

Dr John M Sundheim, MD
1433 Hooper Ave 230,
Toms River, NJ 08753-2200
(732) 818-6800
Not Available

Map and Direction




Physician's Profile

Full NameDr John M Sundheim
GenderMale
SpecialityInternal Medicine - Geriatric Medicine
Location1433 Hooper Ave 230, Toms River, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093795015
  • Provider Enumeration Date: 01/17/2006
  • Last Update Date: 10/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517001720
  • Enrollment ID: I20100225000207

Medical Identifiers

Medical identifiers for Dr John M Sundheim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093795015NPI-NPPES
2954206MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine MA35415 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John M Sundheim allows following entities to bill medicare on his behalf.
Entity NameVisiting Nurse Association Of Central Jersey Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336195791
PECOS PAC ID: 0244323160
Enrollment ID: O20140401000269
Entity NameVps Medical Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265077739
PECOS PAC ID: 2961836069
Enrollment ID: O20191226000592

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John M Sundheim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John M Sundheim, MD
1433 Hooper Ave 230,
Toms River, NJ 08753-2200

Ph: (732) 818-6800
Dr John M Sundheim, MD
1433 Hooper Ave 230,
Toms River, NJ 08753-2200

Ph: (732) 818-6800

Reviews and Comments


Internal Medicine Doctors in Toms River, NJ

Dr. Vanie S Ramachandra Rao, MD
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Dr. Gregory J Cuozzo, MD
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Phone: 732-349-4434    Fax: 732-349-9290
Dr. Prabhat Kumar Sinha, MD
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Dr. Satish K Bhutani, MD
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Phone: 848-223-7120    Fax: 732-349-6919
Rajat K Dhar, MD
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Practice Location: 442d Commons Way, Toms River, NJ 08755
Phone: 732-505-3510    Fax: 732-505-5308
Dr. Joseph Anthony Decorso Jr., MD
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Practice Location: 20 Montreal Ct, Toms River, NJ 08757
Phone: 973-699-1830    
Dr. Martin Zaratan Jimenez, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25 Mule Rd, Building A, Toms River, NJ 08755
Phone: 732-240-0404    Fax: 732-244-3555

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.