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DR. MANISH S PATEL MD
NPI 1053418459
Internal Medicine in Elizabeth, NJ

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
520 WESTFIELD AVE, SUITE 306, ELIZABETH, NJ 07208(908) 994-1044 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Manish S Patel Md NPPES

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

DR. MANISH S PATEL MD (NPI 1053418459) is an individual internal medicine provider in Elizabeth, New Jersey, licensed in New Jersey (MA074156) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1053418459
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANISH S PATELCredential: MD
Location Address520 WESTFIELD AVE, SUITE 306Elizabeth, NJ 07208-1658
Mailing Address15 Schoolhouse LnMatawan, NJ 07747-3518 · (646) 645-6592
Phone(908) 994-1044
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 19, 2019
✔ NPI 1053418459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA074156
Definition
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.
520 WESTFIELD AVE, Elizabeth, NJ 07208
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Other Identifiers 1

Medicaid9125809NJ

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 and accepts Medicare assignment

Dr. Manish S Patel Md 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 ID9335172329
PECOS Enrollment IDI20050912000047
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 7

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 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.
433 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services66 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
168 services77 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.
122 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
34 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07208 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers21 claims40 services$4.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers17 claims17 services$0.86 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims171 services$4.26 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,078 services$0.53 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$35.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims20 services$51.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MENTAL HEALTH CLINIC OF ELIZABETH, NJ INCORPORATED
Nurse Practitioner (Psychiatric/Mental Health)
520 WESTFIELD AVE
ELIZABETH, NJ 07208
Union County (908) 466-8484
DEENA INVALID COACH, INC.
Non-emergency Medical Transport (VAN)
520 WESTFIELD AVE, 202A
ELIZABETH, NJ 07208
Union County (908) 353-1989
DR. JORGE A MATOS D.D.S., C.A.G.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
520 WESTFIELD AVE, SUITE 206
ELIZABETH, NJ 07208
Union County (908) 354-4428
DR. GAUTAM C SURANA MD
Internal Medicine
520 WESTFIELD AVE, SUITE 305
ELIZABETH, NJ 07208
Union County (908) 451-3511
DR. FRANK DE PINHO DDS
Dentist (General Practice)
520 WESTFIELD AVE, SUITE 209
ELIZABETH, NJ 07208
Union County (908) 820-4772
EMMANUEL LOPEZ
Driver
520 WESTFIELD AVE
ELIZABETH, NJ 07208
Union County (908) 662-1717
MANISH PATEL MD PC
Internal Medicine
520 WESTFIELD AVE, SUITE 306
ELIZABETH, NJ 07208
Union County (908) 994-1044
MIRACLE INVALID COACH
Secured Medical Transport (VAN)
520 WESTFIELD AVE, SUITE 203
ELIZABETH, NJ 07208
Union County (908) 355-2235

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 Manish Patel's NPI number?

The NPI number for Manish Patel is 1053418459. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Manish Patel located?

Manish Patel practices at 520 Westfield Ave Suite 306, Elizabeth, NJ 07208. The listed phone number is (908) 994-1044.

What is Manish Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manish Patel enrolled in Medicare?

Yes. Manish Patel 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.

What insurance does Manish Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Manish Patel 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.

Is Manish Patel affiliated with any hospitals?

According to CMS data, Manish Patel is affiliated with Trinitas Regional Medical Center and Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Manish Patel was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.