MAMTA A PATEL APN FNP BC
NPI 1053968321
Nurse Practitioner - Family in North Brunswick, NJ

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
680 DARMODY AVE, NORTH BRUNSWICK, NJ 08902(732) 429-2316 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2024, Sep 25, 2021, Aug 21, 2019 (3 updates tracked since 2019).

About Mamta A Patel Apn Fnp Bc NPPES

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

MAMTA A PATEL APN FNP BC (NPI 1053968321) is an individual family provider in North Brunswick, New Jersey, licensed in New Jersey (26NJ00930900) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Brunswick, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053968321
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAMTA A PATELCredential: APN FNP BC
Location Address680 DARMODY AVENorth Brunswick, NJ 08902-0890
Mailing Address680 Darmody AveNew Brunswick, NJ 08902-4547 · (732) 429-2316
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 21, 2019
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1053968321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00930900
680 DARMODY AVE, North Brunswick, NJ 08902

Other Names 1

Professional Name (2)Mamta R Patel Apn Fnp Bc

Secondary Practice Location 1

Location 1680 Darmody AveNorth Brunswick, NJ 08902-0890 · Phone (732) 429-2316

Other Identifiers 1

Other1053968321NJ · Cds

Accepted Insurance

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

Mamta A Patel Apn Fnp Bc 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 ID1456710755
PECOS Enrollment IDI20230705001875
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

5

Medicare enrollment records show Mamta Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
26 MAIN ST
Edison, NJ 08837
  • Reassigned Medicare billing, New Jersey enrollment
  • 45 clinicians in this Medicare group
Specialist
510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
Physical Medicine & Rehabilitation
544 TEANECK RD
Teaneck, NJ 07666
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
Geriatric Medicine
467 COOPER ST
Woodbury, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • 70 clinicians in this Medicare group
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, New Jersey enrollment
  • 61 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.

Areas of Expertise CMS Part B claims

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.
97 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08902 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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Alexander ***** June 14, 2024

5/5
Excellent Provider like Angel
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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 Mamta Patel's NPI number?

The NPI number for Mamta Patel is 1053968321. It was assigned to this individual provider in the NPPES registry on August 21, 2019. The provider is also known as Mamta R Patel Apn Fnp Bc.

Where is Mamta Patel located?

Mamta Patel practices at 680 Darmody Ave, North Brunswick, NJ 08902. The listed phone number is (732) 429-2316.

What is Mamta Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mamta Patel enrolled in Medicare?

Yes. Mamta 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.

Which organizations bill Medicare for Mamta Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamta Patel reassigns Medicare benefits to 5 organizations: Affiliated Primary Care Associates II (Edison, NJ), North Haledon Medical, PC (Wayne, NJ), Physiatrists Of New Jersey (Teaneck, NJ), Patient Care Medical Group PC (Woodbury, NJ) and Infinite Medical PC (Bristol, RI). 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 Mamta Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamta Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mamta 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.

When was this NPI record last updated?

The NPPES record for Mamta Patel was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.