Prabhat Kumar Sinha, MD
Internal Medicine Physician · Toms River, NJ
Prabhat Kumar Sinha, MD is an internal medicine physician with a practice address in Toms River, New Jersey, and NPI 1013988286, issued on Jan 27, 2006. Check the license (New Jersey MA68270, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Prabhat Kumar Sinha
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- MA68270 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 20 Hospital Dr, Toms River, NJ 08755
- Phone
- (732) 341-9900
- Enumerated
- Jan 27, 2006
- Record last updated
- May 12, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (732) 341-9968
- Medicaid ID
- 7980906 NJ
- Medicare enrollment
- Enrolled (PECOS I20100331000209); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Also registered at 20 Hospital Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Margaret Chung, M.D.Infectious Disease Physician1578526489
- Patricia Comerford, APNPsychiatric/Mental Health Nurse Practitioner1477875698
- Charles Dume, APNPrimary Care Nurse Practitioner1992656631
- Susan Finkelstein, LCSWClinical Social Worker1568669141
- Edward Fiore Md PaFamily Medicine Physician1043300817
- Rakesh Gupta, M.D.Interventional Cardiology Physician1972554020
Verify Prabhat Kumar Sinha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license MA68270Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
6.7 times the Medicare Part D claims of the average internal medicine physician in 2024
21,357 Medicare Part D claims for 1,162 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 224 claims were for opioids.
Most prescribed
- Atorvastatin Calcium957 claims
- Levothyroxine Sodium752 claims
- Amlodipine Besylate743 claims
- Pantoprazole Sodium574 claims
- Metformin Hcl550 claims
- Eliquis521 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,715.77
64 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Botox And Family Associates LLCToms River, NJ
- Ocean Family And Geriatric Associates LLCToms River, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prabhat Kumar Sinha among 4,632 internal medicine physician records in New Jersey
Prabhat Kumar Sinha, MD is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 50% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1992 · median 2000 among the 3,132 with a school on file
- Record last updated2017 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
104 internal medicine physician records list a practice address in Toms River
They are 104 of the 2,671 NPPES records with a practice address in Toms River, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Toms River → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Thanaa Nelly Abraham, MDToms River, NJ 087551568442424
- Luzminda Anama, M.D.Toms River, NJ 087551487647202
- Victor Bugay, MDToms River, NJ 087551568416352
- Gregory Cuozzo, MDToms River, NJ 087551013962166
- Dilip Desai, M.D. PAToms River, NJ 087551144213794
- Anjana Mathur, M.D.Toms River, NJ 087551306895982
- Akshay Patel, MDToms River, NJ 087551396737581
- Benny Riviello, DOToms River, NJ 087551326011214
Common questions
What is Prabhat Kumar Sinha, MD's NPI number?
Prabhat Kumar Sinha, MD's National Provider Identifier (NPI) is 1013988286, issued on Jan 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Prabhat Kumar Sinha, MD located?
The NPPES record lists a practice address at 20 Hospital Dr, Toms River, NJ, 08755. Phone: (732) 341-9900. Providers update this record themselves, so call before visiting.
How can I verify Prabhat Kumar Sinha, MD's license?
NPPES lists New Jersey license number MA68270, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prabhat Kumar Sinha, MD prescribe under Medicare Part D?
In 2024, Prabhat Kumar Sinha, MD had 21,357 Medicare Part D claims for 1,162 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.