MITTAL PATEL APN
NPI 1093229619
Nurse Practitioner - Family in Belleville, NJ

Active since November 17, 2017PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
5 FRANKLIN AVE STE 102, BELLEVILLE, NJ 07109(973) 759-5842(973) 759-0403 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2025, Mar 17, 2018, Dec 15, 2017 and 1 more (4 updates tracked since 2017).

About Mittal Patel Apn NPPES

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

MITTAL PATEL APN (NPI 1093229619) is an individual family provider in Belleville, New Jersey, licensed in New Jersey (26NJ00776600) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1093229619
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMITTAL PATELCredential: APN
Location Address5 FRANKLIN AVE STE 102Belleville, NJ 07109-3504
Mailing AddressPo Box 95000, Lb# 7682Philadelphia, PA 19195-0001 · (844) 362-1735 · Fax (973) 290-7495
Fax(973) 759-0403
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 17, 2017
Last NPPES UpdateMay 27, 20254 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1093229619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00776600
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 26NJ00776600 (NJ)
5 FRANKLIN AVE STE 102, Belleville, NJ 07109

Secondary Practice Locations 4

Location 1354 Route 46 WHackettstown, NJ 07840-5335 · Phone (908) 813-0230
Location 2496 E Main St Ste 1Denville, NJ 07834-2554 · Phone (914) 787-9050
Location 35 Franklin Ave Ste 602Belleville, NJ 07109-3566 · Phone (973) 969-3466 · Fax (973) 969-3467
Location 41005 Clifton Ave Ste 102Clifton, NJ 07013-3523 · Phone (973) 773-7400 · Fax (973) 779-5224

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

Mittal Patel 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 ID1850673591
PECOS Enrollment IDI20190510001496
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 Mittal Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
5 FRANKLIN AVE, SUITE 102
Belleville, NJ 07109
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Emergency Medicine
465 SOUTH ST STE 200
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 37 clinicians in this Medicare group
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 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 07109 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.

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES 2

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

Allergy & Immunology
5 FRANKLIN AVE STE 102
BELLEVILLE, NJ 07109
Nurse Practitioner
5 FRANKLIN AVE STE 102
BELLEVILLE, NJ 07109

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 Mittal Patel's NPI number?

The NPI number for Mittal Patel is 1093229619. It was assigned to this individual provider in the NPPES registry on November 17, 2017.

Where is Mittal Patel located?

Mittal Patel practices at 5 Franklin Ave Ste 102, Belleville, NJ 07109. The listed phone number is (973) 759-5842.

What is Mittal Patel's specialty?

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

Is Mittal Patel enrolled in Medicare?

Yes. Mittal 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 Mittal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mittal Patel reassigns Medicare benefits to 3 organizations: Hudson-Essex Allergy LLC (Belleville, NJ), Atlantic Health Partners (Morristown, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Mittal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mittal Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mittal 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 Mittal Patel was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.