Dr Prabhat Kumar Sinha, MD - Medicare Family Practice in Toms River, NJ

Dr Prabhat Kumar Sinha, MD is a medicare enrolled "Internal Medicine" physician in Toms River, New Jersey. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ocean Family And Geriatric Associates Llc and his current practice location is 20 Hospital Dr, Ste 3, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 341-9900.

Dr Prabhat Kumar Sinha is licensed to practice in New Jersey (license number MA68270) 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 1013988286.

Contact Information

Dr Prabhat Kumar Sinha, MD
20 Hospital Dr, Ste 3,
Toms River, NJ 08755-6434
(732) 341-9900
(732) 341-9968

Map and Direction




Physician's Profile

Full NameDr Prabhat Kumar Sinha
GenderMale
SpecialityFamily Practice
Experience32 Years
Location20 Hospital Dr, Toms River, 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 Prabhat Kumar Sinha graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1013988286
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 05/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1951437797
  • Enrollment ID: I20100331000209

Medical Identifiers

Medical identifiers for Dr Prabhat Kumar Sinha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013988286NPI-NPPES
DO75091OtherNJCDS
7980906MedicaidNJ
MA68270OtherNJNJ LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MA68270 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna Of Central Jersey Home Care & HospiceToms river, NJHome health agency
Hackensack Meridian Health At Home Ocean CountyBrick, NJHome health agency
Serenity Hospice CareHamilton, NJHospice
Community Medical CenterToms river, NJHospital
Southern Ocean Medical CenterManahawkin, NJHospital
Shore Meadows Rehab & Nursing CenterToms river, NJNursing home
Complete Care At Green AcresToms river, NJNursing home
Complete Care At Bey Lea, LlcToms river, NJNursing home
Community Medical Center TcuToms river, NJNursing home

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 Prabhat Kumar Sinha allows following entities to bill medicare on his behalf.
Entity NameOcean Family & Geriatric Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740321645
PECOS PAC ID: 2567729171
Enrollment ID: O20171206000879
Entity NameBotox And Family Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235614744
PECOS PAC ID: 0840535993
Enrollment ID: O20181219000117

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 Prabhat Kumar Sinha 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 Prabhat Kumar Sinha, MD
20 Hospital Dr, Ste 3,
Toms River, NJ 08755-6434

Ph: (732) 341-9900
Dr Prabhat Kumar Sinha, MD
20 Hospital Dr, Ste 3,
Toms River, NJ 08755-6434

Ph: (732) 341-9900

Reviews and Comments


Internal Medicine Doctors in Toms River, NJ

Dr. Vanie S Ramachandra Rao, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Hospital Dr, Toms River, NJ 08755
Phone: 732-244-3100    
Dr. Gregory J Cuozzo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 Commons Way, Toms River, NJ 08755
Phone: 732-349-4434    Fax: 732-349-9290
Dr. Satish K Bhutani, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1416 Hooper Ave, Toms River, NJ 08753
Phone: 848-223-7120    Fax: 732-349-6919
Dr. Joseph Anthony Decorso Jr., MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 20 Montreal Ct, Toms River, NJ 08757
Phone: 973-699-1830    
Dr. Martin Zaratan Jimenez, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25 Mule Rd, Building A, Toms River, NJ 08755
Phone: 732-240-0404    Fax: 732-244-3555
Dr. Murat Karatepe, MD FACC
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25 Mule Rd, Suite B2, Toms River, NJ 08755
Phone: 732-505-9005    Fax: 732-505-9919

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.