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POONAM KUMAR APN
NPI 1013859719
Nurse Practitioner - Adult Health in Hillsborough, NJ

Active since April 09, 2026PECOS EnrolledAccepts Medicare Assignment
616 DANLEY LN, HILLSBOROUGH, NJ 08844(908) 528-4079 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Poonam Kumar Apn NPPES

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

POONAM KUMAR APN (NPI 1013859719) is an individual adult health provider in Hillsborough, New Jersey, licensed in New Jersey (26NJ15556200) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1013859719
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePOONAM KUMARCredential: APN
Location Address616 DANLEY LNHillsborough, NJ 08844-3496
Mailing Address616 Danley LnHillsborough, NJ 08844-3496 · (908) 528-4079
Phone(908) 528-4079
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1013859719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ15556200
616 DANLEY LN, Hillsborough, NJ 08844
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Poonam Kumar Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941772339
PECOS Enrollment IDI20260617000501
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Poonam Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ahmad. A. Mur, MD PA
3.0 mi
Internal Medicine
503 OMNI DR
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1356473912 (908) 595-1199
Personal Np Services, LLC
40 mi
Nurse Practitioner
456 CHESTNUT ST STE 102
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 101 clinicians in this Medicare group
NPI 1649658105 (732) 282-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08844 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 Poonam Kumar's NPI number?

The NPI number for Poonam Kumar is 1013859719. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Poonam Kumar located?

Poonam Kumar practices at 616 Danley Ln, Hillsborough, NJ 08844. The listed phone number is (908) 528-4079.

What is Poonam Kumar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Poonam Kumar enrolled in Medicare?

Yes. Poonam Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Poonam Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Kumar reassigns Medicare benefits to 2 organizations: Ahmad. A. Mur, MD PA (Hillsborough, NJ) and Personal Np Services, LLC (Lakewood, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Poonam Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Poonam Kumar was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.