Dr Sankalp Pathak, MD - Medicare Interventional Cardiology in Newton, NJ

Dr Sankalp Pathak, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Newton, New Jersey. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Advanced Cardiology Llc and his current practice location is 59-61 High Street, Newton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 300-1302.

Dr Sankalp Pathak is licensed to practice in New Jersey (license number 25MA10159100) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316388234.

Contact Information

Dr Sankalp Pathak, MD
59-61 High Street,
Newton, NJ 07860
(973) 300-1302
(973) 300-1201

Map and Direction




Physician's Profile

Full NameDr Sankalp Pathak
GenderMale
SpecialityInterventional Cardiology
Experience13 Years
Location59-61 High Street, Newton, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sankalp Pathak graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1316388234
  • Provider Enumeration Date: 07/08/2013
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385074004
  • Enrollment ID: I20220628003212

Medical Identifiers

Medical identifiers for Dr Sankalp Pathak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316388234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology 25MA10159100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Newton Medical CenterNewton, NJHospital
Saint Barnabas Medical CenterLivingston, NJHospital
Morristown Medical CenterMorristown, NJHospital
Hackettstown Medical CenterHackettstown, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Cardiology Llc559775173520

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 Sankalp Pathak allows following entities to bill medicare on his behalf.
Entity NameCardiovascular Health Consultants, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437291739
PECOS PAC ID: 8325934706
Enrollment ID: O20040224000028
Entity NameGarden State Cardiovascular Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225059660
PECOS PAC ID: 8527053511
Enrollment ID: O20040419000924
Entity NameAdvanced Cardiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295871796
PECOS PAC ID: 5597751735
Enrollment ID: O20040422000915

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 Sankalp Pathak 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 Sankalp Pathak, MD
65 Ridgedale Ave,
Cedar Knolls, NJ 07927-1313

Ph: (973) 401-1100
Dr Sankalp Pathak, MD
59-61 High Street,
Newton, NJ 07860

Ph: (973) 300-1302

Reviews and Comments


Internal Medicine Doctors in Newton, NJ

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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).

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