DR. MIMI NU TON M.D.
NPI 1033178355
Pediatrics - Pediatric Gastroenterology in Newark, NJ

Active since March 23, 2006PECOS Enrolled
73.27/100
CMS Quality Rating
201 LYONS AVE, NEWARK, NJ 07112(973) 926-4446(973) 705-3148 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mimi Nu Ton M.d. NPPES

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

DR. MIMI NU TON M.D. (NPI 1033178355) is an individual pediatric gastroenterology provider in Newark, New Jersey, licensed in New Jersey (25MA08064000) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033178355
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. MIMI NU TONCredential: M.D.
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address28 W 3rd St, Apartment 1419South Orange, NJ 07079-1782 · (973) 763-6340
Fax(973) 705-3148
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 17, 2014
✔ NPI 1033178355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NJ · 25MA08064000
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 218892 (NY)
201 LYONS AVE, Newark, NJ 07112

Other Identifiers 3

Medicare ID-Type Unspecified6B9001
Medicare UPINI18939
Medicaid02580936NY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mimi Nu Ton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Mimi Ton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 61 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group

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 07112 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology (Pediatric Anesthesiology)
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112

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 Mimi Ton's NPI number?

The NPI number for Mimi Ton is 1033178355. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Mimi Ton located?

Mimi Ton practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-4446.

What is Mimi Ton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Mimi Ton enrolled in Medicare?

Yes. Mimi Ton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mimi Ton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mimi Ton reassigns Medicare benefits to 3 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Observation Associates LLC (Livingston, 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 Mimi Ton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mimi Ton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mimi Ton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mimi Ton was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.