Accepted Insurance Plans

• 1199 - SEIU

• All plans

We are not in-network with Aetna Aexcel (No Plan), Aetna Better Health (Medicaid), Aetna NJ Savings Individual EPO.

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with Aetna Better Health Managed Medicaid plans:

Alex Arnouk
Andrew Bernstein
Danielle Blutstein
Akwasi Boateng
Phillip Brackin
Doh Yoon Cha
Michael Cohen
William Ding
Benjamin Fand
Marc Feder
Jarad Fingerman
Joshua Fiske
Russell Freid
Stan Golin
Gary Karlin
Alexander Kirshenbaum
David Koota
Michael Lasser
Bernard Lehrhoff
Alon Mass
Mark Miller
Zein Nakhoda
Steven Orland
Matthew Pagano
Rupa Patel
Steven Richards
Kenneth Ring
Emad Rizkala
Marc Schwarzman
Neil Sherman
Troy Sukkarieh
William Terens
Deep Trivedi
John Watson
Joshua Wein
Vitaly Zholudev

• All Plans

• All Plans

• Medicare Plans

• All plans
• Braven Health Medicare Advantage

We are not in-network with ALL NJ Family Plans, Horizon NJ Health, Horizon NJ Total Care, NJ Family Care.

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with Horizon Health of NJ Managed Medicaid plans:

Randy Ackerman
Randah Al-Kana
Alex Arnouk
Scott Asroff
Robert Barsky
Jeffrey Becker
Michael Benson
Douglas Berkman
Michael Bernstein
Danielle Blutstein
Akwasi Boateng
Phillip Brackin
Gordon Brown
Rajen Butani
Doh Yoon Cha
Shih-han Chow
Thomas Chun
Michael Ciccone
Patrick Ciccone
Michael Cohen
Elan Diamond
William Ding
Philip Dorsey
Benjamin Fand
Marc Feder
Jarad Fingerman
Russell Freid
Glen Gejerman
Robert Goldlust
Martin Goldstein
Dov Gorshein
Robert Ivker
George Johnson
Gary Karlin
Sanjay Kasturi
Louis III Keeler
Alexander Kirshenbaum
George Klafter
David Koota
Carol Kornmehl
Mitchell Kotler
Evan Krisch
Michael Lasser
Robert Linden
Daniel Lowe
Eric Margolis
Thomas Mueller
Marcella Nachmann
Zein Nakhoda
William Niedrach
Cynthia Nolan(Moceri)
Steven Orland
Matthew Pagano
Rupa Patel
Adam Perzin
Steven Richards
Emad Rizkala
James Saidi
Eric Seaman
Neil Sherman
Stuart Shoengold
Andrew Siegel
Alan Strumeyer
Troy Sukkarieh
David Sussman
William Terens
Smitha Thomas
Paul Thur
Deep Trivedi
Erol Ulker-Sarokhan
Konstantin Walmsley
Heather Wargo
Gary Wasserman
John Watson
Joshua Wein
Brian Weiss
Jeffrey Williams
Jason Wynberg
Vitaly Zholudev

• All plans

We are not in-network with Health Plus (Medicaid) and Pathway (Medicaid).

• All Plans

• CHN or Medlogix

• All plans
• Medicare Advantage
• Cigna Local Plus

• Medicare Advantage

• Workers Compensation

• Workers Compensation and Motor Vehicle Only

• Accepting Medicare Advantage plans
• Accepting most Emblem, HIP and GHI plans 
• All locations out‐of‐network with Medicaid, Select Care or Millenium plans

• First Health Logo on Card
• Medigap Plans

We are not in-network with First Health Medicare Advantage.

• PPO and HMO Plans
• All Humana Medicare Plans

• All Magnacare Commercial Plans
• Workers Compensation

• Medicare
• Railroad Medicare

• All plans

• MVA

• All plans

• NY Workers Compensation

• VA Community Care Network

• Oscar NJ Individual & Family Plans (Exchange)
• Oscar NJ PPO Plan
• Oscar NJ Small Group Plans (Exchange)

We are not in-network with Oscar Medicare Advantage.

• Freedom
• Liberty
• Medicare Plans (All)

We are not in-network with Americhoice, Compass Plan, Garden State Plans (All).

• All plans
• Workers Compensation

• All plans except Medicaid

• Government - all plans

• CityMD NJ Locations
• Select Providers for NJ Urology (Please check with your insurance carrier) 

• AARP Medicare Complete (All Plans)
• Choice
• Choice Plus
• HMO
• Medicare Advantage Plans
• Navigate EPO, HMO, POS
• NYSHIP
• POS
• PPO
• UHC Core
• VA Community Care Network

We are not in-network with Americhoice, Compass Plans, Essential Plan (United CityMD Essential Plan), Medicare Dual Complete.

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with United Community Managed Medicaid plans:

Randy Ackerman
Alex Arnouk
Danielle Blutstein
Akwasi Boateng
Phillip Brackin
Doh Yoon Cha
Michael Ciccone
Michael Cohen
William Ding
Marc Feder
Jarad Fingerman
Russell Freid
Glen Gejerman
Chirag Gordhan
Robert Ivker
Gary Karlin
Alexander Kirshenbaum
David Koota
Matthew Pagano
Steven Richards
Emad Rizkala
Marc Schwarzman
Stuart Shoengold
Troy Sukkarieh
Deep Trivedi
Erol Ulker-Sarokhan
John Watson
Vitaly Zholudev

• US Family Health plan - Tricare Prime

• Managed Medicare

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with WellCare Managed Medicaid plans:

Randy Ackerman
Alex Arnouk
Scott Asroff
Robert Barsky
Jeffrey Becker
Douglas Berkman
Andrew Bernstein
Michael Bernstein
Danielle Blutstein
Akwasi Boateng
Phillip Brackin
Gordon Brown
Rajen Butani
Doh Yoon Cha
Shih-han Chow
Michael Ciccone
Patrick Ciccone
Michael Cohen
Karl Coutinho
William Ding
Philip Dorsey
Benjamin Fand
Marc Feder
Jarad Fingerman
Joshua Fiske
Russell Freid
Glen Gejerman
Robert Goldlust
Stan Golin
Jamie Gray
Matthew Hall
Gary Karlin
Sanjay Kasturi
Aryeh Keehn
Louis III Keeler
Alexander Kirshenbaum
David Koota
Carol Kornmehl
Mitchell Kotler
Evan Krisch
Michael Lasser
Bernard Lehrhoff
Sharon Li
Robert Linden
Paul Littman
Alon Mass
James Matteson
Mark Miller
Thomas Mueller
Marcella Nachmann
Zein Nakhoda
Cynthia Nolan(Moceri)
Steven Orland
Matthew Pagano
Karen Pandola-Dilolle
Rupa Patel
Adam Perzin
Veronica Pomasin
Ravi Rajan
Steven Richards
Kenneth Ring
Emad Rizkala
Frank Salvatore
John Sanzone
Christopher Schaefer
Burton Schlecker
Marc Schwarzman
Matthew Shahbandi
Neil Sherman
Alan Strumeyer
Troy Sukkarieh
David Sussman
William Terens
Paul Thur
Deep Trivedi
Erol Ulker-Sarokhan
Heather Wargo
John Watson
Timothy Weimer
Joshua Wein
Brian Weiss
Jason Wynberg
Akira Yamamoto
Vitaly Zholudev
James Zinman

All Summit Health New Jersey Providers participate with Wellpoint’s Medicare Advantage plans.

Medicare Advantage

• Wellpoint Extra Help (HMO-POS) - NJ
• Wellpoint Extra Help (HMO) - NJ
• Wellpoint Full Dual Advantage (HMO D-SNP) - NJ
• Wellpoint Full Dual Advantage Support (HMO-POS D-SNP) - NJ
• Wellpoint Kidney Care (HMO-POS C-SNP) - NJ
• Wellpoint Medicare Advantage (HMO-POS) - NJ
• Wellpoint Medicare Advantage (HMO) - NJ

Only select Summit Health New Jersey Providers participate with Medicaid Advantage plans.

Managed Medicaid*

• NJ FamilyCare - NJ
• NJ KidCare (CHIP) - NJ
• NJ Managed Long Term Services and Supports - NJ
• NJ Medicaid - NJ

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with Wellpoint Managed Medicaid plans:

Randy Ackerman MD
Alex Arnouk MD
Robert Barsky DO
Jeffrey Becker MD
Douglas Berkman MD
Michael Bernstein MD
Danielle Blutstein APN
Akwasi Boateng MD
Phillip Brackin MD
Gordon Brown DO
Rajen Butani MD
Doh Yoon Cha MD
Paul Chialastri DO
Shih-Han Chow MD
Michael Cohen MD
William Ding MD
Philip Dorsey MD
Marc Feder MD
Jarad Fingerman DO
Russell Freid MD
Glen Gejerman MD
Robert Goldlust MD
Chirag Gordhan MD
Charles Gresham MD
Robert Ivker DO
George Johnson MD
Gary Karlin MD
Sanjay Kasturi MD
Aryeh Keehn MD
Louis Keeler MD
Alexander Kirshenbaum MD
David Koota MD
Carol Kornmehl MD
Mitchell Kotler MD
Alan Krieger MD
Evan Krisch MD
Jayram Krishnan DO
Michael Lasser MD
Robert Linden MD
Mark Mann MD
Thomas Mueller MD
Marcella Nachmann DO
Zein Nakhoda MD
Kelly Olsen DO
Brett Opell MD
Matthew Pagano MD
Karen Pandola-Dilolle APN
Brijesh Patel MD
Rupa Patel MD
Adam Perzin MD
Veronica Pomasin APN
Emad Rizkala MD
James Saidi MD
Domenico Savatta MD
LeeAnn Schiller APN
Eric Seaman MD
Neil Sherman MD
Stuart Shoengold MD
Arvind Srinivasan MD
Safirah Stewart PA
Alan Strumeyer MD
Troy Sukkarieh MD
David Sussman DO
William Terens MD
Paul Thur MD
Deep Trivedi MD
Konstantin Walmsley MD
Heather Wargo MD
John Watson MD
Timothy Weimer APN
Joshua Wein MD
Brian Weiss MD
Samuel A. Weprin MD
Matthew Whang MD
Jeffrey Williams MD
Vitaly Zholudev MD

• 1199 - SEIU 

• All plans excluding Aetna Better Health and Aetna NJ Savings Individual EPO

• All Plans (Westmed locations only)

• Summit Health NY - Accepts all Medicare and Commercial plans
  • Health Plus Medicaid plans are not in-network
• Summit Health NY/Westchester locations (formally Westmed Medical Group) accepts all plans including Healthplus Medicaid Plans

*Out-of-state plans must have Blue Care Network

• All Plans

• All plans
• Medicare Advantage
• Cigna Local Plus

• Workers Compensation

• Workers Compensation and Motor Vehicle Only

• Accepting Medicare Advantage plans
• Accepting most Emblem, HIP and GHI plans
• All locations out‐of‐network with Medicaid, Select Care or Millenium plans

• All Plans

• All Plans (Westmed locations only)

• Summit Health Westchester locations (formally Westmed) only accepting Medicare Advantage plans
• All other Summit Health NY locations accepting Medicaid and Medicare plans
• HMO & Medicaid plans ‐ Patient must have selected a PCP within the group prior to scheduling with a PCP

• All Medicare Plans accepted for Summit Health - NJ locations 
• Summit Health – NY/Westchester locations (formerly Westmed Medical Group) is not in-network with Humana Medicare

• All Commercial Plans (Westmed locations only)
• Workers Compensation-All locations non-par.

• Medicare
• Railroad Medicare

• All plans (WMG is non par with Beechstreet)

• MVA

• Accepting all plans
• Medicare DSNP (Special Needs), Medicaid and Essential Plan: Patient must have selected a PCP within the group prior to scheduling with a PCP

• NY Workers Compensation

• Freedom
• Liberty
• Medicare Plans (All)
• Excludes:  All Garden State Plans
• Metro (Westmed locations only)
  • Due to Oxford, Westmed Medical Group, and Westmed Urgent Care not being able to reach a contract negotiation agreement, WMG and WMGUC announced effective January 19, 2021, that they would no longer accept Oxford Metro and United Healthcare Compass New Patients with this plan. WMG and WMG UC agreed to continue to service Existing Patients with these plans until a runout date was provided. Our UHC/Oxford Provider Rep informed that letters went out to all members with the Oxford Metro Plan announcing that Westmed will no longer accept the Existing Patients as of November 1, 2023, therefore we are requesting this announcement to be noted.

• Medicare Advantage (Westmed locations only with limited patient access)

• Government – (all plans Summit locations)

• AARP Medicare Complete (All Plans)
• Choice/Choice Plus
• Compass Plan
• HMO, EPO, PPO
• Medicare Advantage Plans
• Navigate EPO, HMO, PPO, POS
• Excludes:  Community Network

• US Family Health plan – Tricare Prime

Only accepted at Summit Westchester locations (formally Westmed)

• All Medicare Plans
• Excludes:  Managed Medicaid Plans

• 1199 - SEIU 

• All plans excluding Aetna Better Health and Aetna NJ Savings Individual EPO

• All Plans:  Must have access to the Blue Card Network.

• All plans

• All plans
• Medicare Advantage
• Cigna Local Plus

• Commercial Choice and Flex
• Medicare Choice and Flex
• Commercial/Medicare Passage-participation is limited to specialists only.

• Accepting Emblem and Medicare Advantage with Connecticare logo

• All Plans
• Excludes workers compensation

• Summit Health CT only accepting Medicare Advantage plans
• For all HMO plans ‐ Patient must have selected a PCP within the group prior to scheduling with a PCP

• All Commercial Plans 
• Excludes Workers Compensation

• Limited Provider Participation

• Medicare
• Railroad Medicare

• All plans

• MVA

• All commercial plans with access to the Cigna network only.

• Freedom
• Liberty
• Medicare Plans (All)
• Excludes:  Metro and All Garden State Plans

• AARP Medicare Complete (All Plans)
• Choice/Choice Plus
• HMO, EPO, PPO
• Medicare Advantage Plans
• Navigate EPO, HMO, PPO, POS
• Excludes: Compass, Nexus ACO, Community Network

• US Family Health plan – Tricare Prime