Sanjay Raval, APN
Gerontology Nurse Practitioner · Wayne, NJ
Sanjay Raval, APN is a gerontology nurse practitioner with a practice address in Wayne, New Jersey, and NPI 1659920700, issued on Sep 10, 2019. Check the license (New Jersey 26NJ00953500, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Sanjay Raval
- Credential
- APN
- Primary taxonomy
- Gerontology Nurse Practitioner 363LG0600X
- License number
- 26NJ00953500 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 246 Hamburg Tpke Ste 202, Wayne, NJ 07470
- Phone
- (973) 754-2000
- Enumerated
- Sep 10, 2019
- Record last updated
- Nov 6, 2025
- Medicare enrollment
- Enrolled (PECOS I20191120001526); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest gerontology nurse practitioner records → All 547 in New Jersey → Look up another NPI →
Verify Sanjay Raval in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
Search for license 26NJ00953500Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average gerontology nurse practitioner in 2024
166 Medicare Part D claims for 101 beneficiaries, against an average of 1,369 among the 6,165 providers of this specialty who prescribed in Part D.
Most prescribed
- Atorvastatin Calcium16 claims
- Cefpodoxime Proxetil14 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 75.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Passaic River Observation, LLCPaterson, NJ
- St Josephs Physicians Healthcare Group IncWayne, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sanjay Raval among 547 gerontology nurse practitioner records in New Jersey
Sanjay Raval, APN is one of 547 gerontology nurse practitioner records with a practice address in New Jersey. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 38% of them.
- NPI issued2019 · 38% of these records are older, 55% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2019 · median 2020 among the 348 with a school on file
- Record last updated2025 · 32% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gerontology Nurse Practitioner providers in New Jersey
There are 547 gerontology nurse practitioner records in New Jersey.
All 547 in New Jersey → Every provider in Wayne → Gerontology Nurse Practitioner nationwide →
The 8 gerontology nurse practitioner records with the nearest ZIP codes
- Daiva Gessmann, APNWayne, NJ 074701841978467
- Martha Guardia, APNWayne, NJ 074701922791599
- Tahmina MojumderWayne, NJ 074701992669311
- Olga Shatkin, APNWayne, NJ 074701821816216
- Roberta Vitcusky, NPWayne, NJ 074701275601270
- Nicole Fitzgerald, AGPCNP-BCVernon, NJ 074621417667528
- Joanna BuilesRidgewood, NJ 074501790374437
- Patricia DignamRidgewood, NJ 074501336020080
Common questions
What is Sanjay Raval, APN's NPI number?
Sanjay Raval, APN's National Provider Identifier (NPI) is 1659920700, issued on Sep 10, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Raval, APN located?
The NPPES record lists a practice address at 246 Hamburg Tpke Ste 202, Wayne, NJ, 07470. Phone: (973) 754-2000. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Raval, APN's license?
NPPES lists New Jersey license number 26NJ00953500, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.
How much does Sanjay Raval, APN prescribe under Medicare Part D?
In 2024, Sanjay Raval, APN had 166 Medicare Part D claims for 101 beneficiaries; the average among gerontology nurse practitioner prescribers was 1,369. Part D covers Medicare prescriptions only.
What is Sanjay Raval, APN's MIPS final score?
The 2023 MIPS final score is 75.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.