Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MIGUEL A CONDE MD
NPI 1093795270
Internal Medicine - Hematology & Oncology in Livingston, NJ

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039(973) 322-5200 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1093795270
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MIGUEL A CONDECredential: MD
Location Address94 OLD SHORT HILLS RDLivingston, NJ 07039-5672
Mailing Address94 Old Short Hills RdLivingston, NJ 07039-5672 · (973) 322-5200
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1986
Enumeration DateJanuary 23, 2006
Last NPPES UpdateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1093795270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in NJ · 25MA05924500✔ Licensed in PA · MD497118
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
94 OLD SHORT HILLS RD, Livingston, NJ 07039

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.

PECOS PAC ID244260586
PECOS Enrollment IDI20050817000089, I20251002003721
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 Miguel Conde reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Emergency Medicine
105 NASON DR
Roaring Spring, PA 16673
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
Family Medicine
907 GEORGIANA ST
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services15 patients
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.
19 services12 patients

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Forks Community Hospital

Critical Access Hospitals · Forks, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501325
Location530 Bogachiel WayForks, WA 98331 · Clallam County
Emergency services Birthing friendly

Physician 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.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims936 services$0.73 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers17 claims17 services$19.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers14 claims20 services$11.41 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 20

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

Nurse Practitioner (Gerontology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Psychiatry & Neurology (Neurology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Pharmacist
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Specialist
94 OLD SHORT HILLS RD, EAST WING, SUITE 305
LIVINGSTON, NJ 07039
Pathology (Anatomic Pathology & Clinical Pathology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Emergency Medicine
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Internal Medicine (Critical Care Medicine)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Nurse Practitioner
94 OLD SHORT HILLS RD
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.