DR. SETH NESS M.D., PH.D.
NPI 1013189083
Pediatrics in Jersey City, NJ

Q: What is Seth Ness's NPI number?

The NPI number for Seth Ness is 1013189083. It was assigned to this individual provider in the NPPES registry on March 29, 2008.

Q: What is Seth Ness's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: Is Seth Ness enrolled in Medicare?

No. Seth Ness has opted out of Medicare through December 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Seth Ness was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2008Opted out of Medicare · through Dec 14, 2027

344 GROVE ST APT 60759, JERSEY CITY, NJ 07302(973) 280-7683 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Seth Ness M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SETH NESS M.D., PH.D. (NPI 1013189083) is an individual pediatrics provider in Jersey City, New Jersey, licensed in New Jersey (25MA07565700) and active in the NPI registry since March 2008. He has opted out of Medicare through December 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013189083

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SETH NESSCredential: M.D., PH.D.

Location Address344 GROVE ST APT 60759Jersey City, NJ 07302-5923

Mailing Address344 Grove St Apt 60759Jersey City, NJ 07302-5923 · (973) 280-7683

Phone(973) 280-7683

Sole ProprietorYes

Enumeration DateMarch 29, 2008

Last NPPES UpdateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1013189083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA07565700

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

344 GROVE ST APT 60759, Jersey City, NJ 07302

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Seth Ness M.d., Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2021 through December 14, 2027.

Opt-Out Effective DateDecember 14, 2021

Opt-Out In Effect ThroughDecember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seth Ness's NPI number?

The NPI number for Seth Ness is 1013189083. It was assigned to this individual provider in the NPPES registry on March 29, 2008.

Where is Seth Ness located?

Seth Ness practices at 344 Grove St Apt 60759, Jersey City, NJ 07302. The listed phone number is (973) 280-7683.

What is Seth Ness's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Seth Ness enrolled in Medicare?

No. Seth Ness has opted out of Medicare through December 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Seth Ness was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.