DR. MIGUEL A CONDE MD
NPI 1093795270
Internal Medicine - Hematology & Oncology in Livingston, NJ
About Dr. Miguel A Conde Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIGUEL A CONDE MD (NPI 1093795270) is an individual hematology & oncology provider in Livingston, New Jersey, licensed in New Jersey (25MA05924500) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1986).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Miguel A Conde 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.
Medicare Billing Reassignments
3Medicare enrollment records show Miguel Conde reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Roaring Spring, PA 16673
- Reassigned Medicare billing, Pennsylvania enrollment
- 771 clinicians in this Medicare group
Port Angeles, WA 98362
- Reassigned Medicare billing, Washington enrollment
- 112 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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinitas Regional Medical Center
Acute Care Hospitals · Elizabeth, NJOlympic Medical Center
Acute Care Hospitals · Port Angeles, WAForks Community Hospital
Critical Access Hospitals · Forks, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LIVINGSTON, NJ 07039
LIVINGSTON, NJ 07039
LIVINGSTON, NJ 07039
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 Miguel Conde's NPI number?
The NPI number for Miguel Conde is 1093795270. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is Miguel Conde located?
Miguel Conde practices at 94 Old Short Hills Rd, Livingston, NJ 07039. The listed phone number is (973) 322-5200.
What is Miguel Conde's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Miguel Conde enrolled in Medicare?
Yes. Miguel Conde 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 Miguel Conde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Conde reassigns Medicare benefits to 3 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), Dlp Conemaugh Physician Practices LLC (Roaring Spring, PA) and Olympic Medical Physicians (Port Angeles, WA). 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 Miguel Conde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miguel Conde accept?
Health plans from Ambetter Health, Oscar Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Miguel Conde 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 Miguel Conde affiliated with any hospitals?
According to CMS data, Miguel Conde is affiliated with Trinitas Regional Medical Center, Olympic Medical Center and Forks Community Hospital.
When was this NPI record last updated?
The NPPES record for Miguel Conde was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.