Sanjay Lalla, M. D.
NPI 1295797256 · Plastic Surgery Physician · West Orange, NJ
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Lalla, M. D. is a Plastic Surgery Physician provider in West Orange, NJ (NPI 1295797256).
Provider details
- NPI number
- 1295797256
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA58573 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 30 | 24 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 17 | 16 |
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 12 | — |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$23 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2008-03-03
Frequently asked questions
- What is Sanjay Lalla's NPI number?
- Sanjay Lalla's National Provider Identifier (NPI) is 1295797256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Lalla's specialty?
- Sanjay Lalla is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Lalla located?
- Sanjay Lalla's practice location on file with NPPES is 383 Northfield Ave, West Orange, NJ 07052-3024.
- What is Sanjay Lalla's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Lalla is (973) 324-9455.
- Does Sanjay Lalla accept Medicare?
- Sanjay Lalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Lalla's NPI active?
- Yes — Sanjay Lalla's NPI (1295797256) is active in the NPPES registry as of the last update on 2008-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.