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NADER GHOBRIAL DPM
NPI 1043717234
Podiatrist - Foot & Ankle Surgery in Clifton, NJ

Active since April 12, 2018PECOS Enrolled
85.05/100
CMS Quality Rating
1100 CLIFTON AVE # C, CLIFTON, NJ 07013(973) 777-4650 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2021, Apr 12, 2018 (2 updates tracked since 2018).

About Nader Ghobrial Dpm NPPES

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

NADER GHOBRIAL DPM (NPI 1043717234) is an individual foot & ankle surgery provider in Clifton, New Jersey, licensed in New Jersey (25MD00360500) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Somerset.

NPPES Registry Identity

NPI1043717234
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameNADER GHOBRIALCredential: DPM
Location Address1100 CLIFTON AVE # CClifton, NJ 07013-3631
Mailing Address1100 Clifton Ave # CClifton, NJ 07013-3631 · (551) 232-2233
Phone(973) 777-4650
Sole ProprietorNo
Enumeration DateApril 12, 2018
Last NPPES UpdateSeptember 2, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1043717234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00360500
1100 CLIFTON AVE # C, Clifton, NJ 07013
Open in Google Maps ↗

Secondary Practice Location 1

Location 17 Cedar Grove Ln Ste 28Somerset, NJ 08873-1331 · Phone (732) 412-1282

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nader Ghobrial Dpm 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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
119 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services47 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
78 services49 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
57 services46 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
47 services33 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
42 services42 patients

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.

85.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.92
Promoting Interoperability98
Improvement Activities40

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 Nader Ghobrial's NPI number?

The NPI number for Nader Ghobrial is 1043717234. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Nader Ghobrial located?

Nader Ghobrial practices at 1100 Clifton Ave # C, Clifton, NJ 07013. The listed phone number is (973) 777-4650.

What is Nader Ghobrial's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nader Ghobrial enrolled in Medicare?

Yes. Nader Ghobrial is registered in the Medicare PECOS enrollment system.

What insurance does Nader Ghobrial accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nader Ghobrial 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 Nader Ghobrial was last updated on September 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.