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NICOLAS PATEL M.D.
NPI 1134577166
Internal Medicine - Gastroenterology in Neptune, NJ

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
80.06/100
CMS Quality Rating
1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 897-2770 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Sep 1, 2023, Jun 10, 2021 (3 updates tracked since 2021).

About Nicolas Patel M.d. NPPES

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

NICOLAS PATEL M.D. (NPI 1134577166) is an individual gastroenterology provider in Neptune, New Jersey, licensed in New Jersey (25MA10807800) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134577166
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNICOLAS PATELCredential: M.D.
Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877
Phone(732) 897-2770
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1134577166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NJ · 25MA10807800✔ Licensed in PA · MD482525
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 299357 (NY)
1945 STATE ROUTE 33, Neptune, NJ 07753
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1150 55th StBrooklyn, NY 11220-2508 · Phone (718) 630-7000 · Fax (718) 630-8515
Location 2402 Main St Ste 100-184Metuchen, NJ 08840-1846 · Phone (973) 356-3300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Nicolas Patel M.d. 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 ID6406140896
PECOS Enrollment IDI20240911001038
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services13 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.1
Promoting Interoperability94
Improvement Activities40
Cost70.44

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.

MAULIK D SHAH DO
Internal Medicine (Gastroenterology)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2770
HANI NASER
Internal Medicine
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4483
KALIOPI MELLO
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
DR. EMILY NICOLE RIENZO MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4328
CHRISTINE BARONE D.O
Pediatrics (Neonatal-Perinatal Medicine)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4283
NIYOUSHA SADEGHPOUR MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
JUSTIN VAN NEST PA-C
Physician Assistant
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-2330
ZAINAB SHAHSAMAND MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-3712

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 Nicolas Patel's NPI number?

The NPI number for Nicolas Patel is 1134577166. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Nicolas Patel located?

Nicolas Patel practices at 1945 State Route 33, Neptune, NJ 07753. The listed phone number is (732) 897-2770.

What is Nicolas Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nicolas Patel enrolled in Medicare?

Yes. Nicolas 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.

What insurance does Nicolas Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nicolas 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.

Is Nicolas Patel affiliated with any hospitals?

According to CMS data, Nicolas Patel is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Nicolas Patel was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.