NIKITA GANATRA
NPI 1104236298
Emergency Medicine in Perth Amboy, NJ

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861(732) 324-5104 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Jan 16, 2019 (2 updates tracked since 2019).

About Nikita Ganatra NPPES

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

NIKITA GANATRA (NPI 1104236298) is an individual emergency medicine provider in Perth Amboy, New Jersey, licensed in New Jersey (25MA20009400) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104236298
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNIKITA GANATRA
Location Address530 NEW BRUNSWICK AVEPerth Amboy, NJ 08861-3654
Mailing AddressPo Box 3581Jersey City, NJ 07303-3581 · (732) 343-2551
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 29, 2014
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1104236298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NJ · 25MA20009400 Licensed in CA · A162855
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
530 NEW BRUNSWICK AVE, Perth Amboy, NJ 08861

Secondary Practice Location 1

Location 1506 6th StBrooklyn, NY 11215-3609 · Phone (718) 780-5040

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

Nikita Ganatra 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 ID7416226949
PECOS Enrollment IDI20190924001372
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
93 services91 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08861 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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Anesthesiology
530 NEW BRUNSWICK AVE, DIVISION OF ANESTHESIOLOGY, RARITAN BAY MEDICAL CENTER
PERTH AMBOY, NJ 08861
Internal Medicine (Cardiovascular Disease)
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Internal Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Anesthesiology
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861

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 Nikita Ganatra's NPI number?

The NPI number for Nikita Ganatra is 1104236298. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Nikita Ganatra located?

Nikita Ganatra practices at 530 New Brunswick Ave, Perth Amboy, NJ 08861. The listed phone number is (732) 324-5104.

What is Nikita Ganatra's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nikita Ganatra enrolled in Medicare?

Yes. Nikita Ganatra 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.

When was this NPI record last updated?

The NPPES record for Nikita Ganatra was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.