Sumul N. Raval, M.D.
NPI 1376526673ActiveIndividual· Psychiatry & Neurology, Neurology· West Long Branch, NJ
Psychiatry & Neurology, Neurology (M.D.) with Garden State Neurology and Neuro-Oncology, PC, practicing in West Long Branch, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $1,618,464 for 3,544 claims, against $696,556 paid for services in 2024. Boston Scientific Corporation was the largest of 33 companies reporting payments in 2025, $1,892 in all, mostly food and beverage. Lists Community Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1376526673 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 21, 2005 |
| Last updated in NPPES | Apr 12, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | 25MA07183700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,765 |
|---|---|
| Services billed | 8,245 across 35 procedure codes |
| Paid by Medicare | $696,556 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,544 · 7,225 30-day fills |
|---|---|
| Patients | 624 |
| Total drug cost | $1,618,464 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Neurology |
Medical group
- Garden State Neurology and Neuro-Oncology, PCWest Long Branch, NJ · 4 clinicians
Hospital affiliations
- Community Medical CenterToms River, NJ
- Jersey Shore University Medical CenterNeptune, NJ
- Jfk University Medical CenterEdison, NJ
- Monmouth Medical CenterLong Branch, NJ
- Ocean Medical CenterBrick, NJ
Industry payments (Open Payments)
- 2025$1,892 · 99 payments from 33 companies
- 2024$1,644 · 110 payments from 29 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $192.04 | 2 |
| Pfizer Inc. | $150.19 | 11 |
| Ani Pharmaceuticals, Inc. | $140.97 | 9 |
| Novartis Pharmaceuticals Corporation | $139.20 | 6 |
| Abbvie Inc. | $103.57 | 6 |
What the 2025 payments were for
- Food and Beverage$1,892 · 99 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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