Internal Medicine In Plainfield New Jersey

NPI list of 23 internal medicine registered providers with a business address in Plainfield, NJ of which 5 are registered as organizations and 18 as individuals. A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

NPI Name Type Taxonomy Address Medicare PECOS
1134197346SALEEM HUSAINIndividualInternal Medicine
(Cardiovascular Disease)
1314 PARK AVE SUITE 9
PLAINFIELD, NJ 07060
(908) 222-8970
Accepts MedicareYES
1134305394GASTROENTEROLOGY ASSOCIATES,PAOrganizationInternal Medicine1165 PARK AVE
PLAINFIELD, NJ 07060
(908) 754-2992
Non-Participating ProviderNO
1205845039SUSAN WALSHIndividualInternal Medicine1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
Non-Participating ProviderNO
1194814624DAVID ALAN GOLDENBERGIndividualInternal Medicine
(Gastroenterology)
1165 PARK AVE
PLAINFIELD, NJ 07060
(908) 754-2992
Non-Participating ProviderNO
1184826661EVA BESSERMANIndividualInternal Medicine
(Critical Care Medicine)
MUHLENBERG REGIONAL MEDICAL CENTER PARK AVE. & RANDOLPH RD.
PLAINFIELD, NJ 07061
(908) 668-2228
Non-Participating ProviderNO
1194735969HARSHA TRIPATHIIndividualInternal Medicine1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
Accepts MedicareYES
1376545574JANET C LINIndividualInternal Medicine
(Infectious Disease)
MUHLENBERG REGIONAL MEDICAL CENTER PARK AVE AND RANDOLPH RD
PLAINFIELD, NJ 07061
(908) 668-2985
Accepts MedicareYES
1518982388SALEEM HUSAIN MD PCOrganizationInternal Medicine
(Cardiovascular Disease)
1314 PARK AVE SUITE 9
PLAINFIELD, NJ 07060
(908) 222-8970
Non-Participating ProviderNO
1275543027PADMAJA ISUKAPALLIIndividualInternal Medicine1024 PARK AVE SUITE 6 A
PLAINFIELD, NJ 07060
(908) 222-8400
Accepts MedicareYES
1326137886ALLAN BARRY COHENIndividualInternal Medicine
(Gastroenterology)
1165 PARK AVE
PLAINFIELD, NJ 07060
(908) 754-2992
Non-Participating ProviderYES
1235482803SPINE AND HEALTH CARE CENTER OF THE PLAINFIELDSOrganizationInternal Medicine212 PARK AVE
PLAINFIELD, NJ 07060
(908) 322-8300
Non-Participating ProviderNO
1487749420EDWARD A. ALDERIndividualInternal Medicine1177 PARK AVE
PLAINFIELD, NJ 07060
(908) 222-0600
Non-Participating ProviderYES
1467408047JOYCE NKWONTAIndividualInternal Medicine1314 PARK AVE STE 1
PLAINFIELD, NJ 07060
(908) 561-9733
Accepts MedicareYES
1386688968KAMALAKAR VANAMIndividualInternal Medicine1200 PARK AVE
PLAINFIELD, NJ 07061
(908) 668-2200
Non-Participating ProviderYES
1770675308FRANCIS LEE GRIFFINIndividualInternal MedicinePARK AVE. & RANDOLPH RD. DEPT. OF MED ED - MUHLENBERG HOSPITAL
PLAINFIELD, NJ 07061
(908) 668-2030
Non-Participating ProviderNO
1932304524ROBERT BAYLYIndividualInternal Medicine
(Critical Care Medicine)
PARK AVE. & RANDOLPH RD.
PLAINFIELD, NJ 07061
(908) 668-2985
Non-Participating ProviderNO
1881968261GENEVIEVE NWIGWEIndividualInternal Medicine1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
Accepts MedicareYES
1801019971SHAHEDA ALIIndividualInternal Medicine1700 MYRTLE AVE
PLAINFIELD, NJ 07063
(908) 753-6401
Non-Participating ProviderYES
1619036738GEORGE ANDREW HERMANNIndividualInternal Medicine212 PARK AVE SPINE AND HEALTHCARE CENTER OF THE PLAINFIELDS
PLAINFIELD, NJ 07060
(908) 322-8300
Accepts MedicareYES
1639230600JOYCE NKWONTA MD. PC.OrganizationInternal Medicine1314 PARK AVE SUITE 1
PLAINFIELD, NJ 07060
(908) 561-9733
Non-Participating ProviderNO
1821286006JOHNNIE A LEEIndividualInternal Medicine1070 HILLSIDE AVE
PLAINFIELD, NJ 07060
(203) 644-0323
Non-Participating ProviderNO
1922313907EMAD ADLY FAKHOURY BARSOUMIndividualInternal Medicine
(Cardiovascular Disease)
1314 PARK AVE STE 9
PLAINFIELD, NJ 07060
(908) 222-8970
Accepts MedicareYES
1538238852MUHLENBERG HEART GROUPOrganizationInternal Medicine
(Cardiovascular Disease)
PARK AVE & RANDOLPH RD
PLAINFIELD, NJ 07060
(908) 668-2000
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.