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RUPALBEN BABARIA NP
NPI 1134812035
Nurse Practitioner - Gerontology in Hillsborough, NJ

Active since May 29, 2023PECOS EnrolledAccepts Medicare Assignment
35 BAKER CIR, HILLSBOROUGH, NJ 08844(203) 927-7957 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rupalben Babaria Np NPPES

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

RUPALBEN BABARIA NP (NPI 1134812035) is an individual gerontology provider in Hillsborough, New Jersey, licensed in New Jersey (26NJ01468300) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134812035
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameRUPALBEN BABARIACredential: NP
Location Address35 BAKER CIRHillsborough, NJ 08844-5219
Mailing Address35 Baker CirHillsborough, NJ 08844-5219 · (203) 927-7957
Phone(203) 927-7957
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 29, 2023
NPPES CertifiedMay 28, 2023
✔ NPI 1134812035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ01468300
35 BAKER CIR, Hillsborough, NJ 08844
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rupalben Babaria Np 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 ID1355709015
PECOS Enrollment IDI20230628001185
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

2

Medicare enrollment records show Rupalben Babaria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Jersey Medicine And Geriatrics, LLC
10 mi
Internal Medicine
601 EWING ST STE C7
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1801997846 (609) 921-8766
Primary Healthcare LLC
10 mi
Internal Medicine
2090 ROUTE 27, SUITE 101
North Brunswick, NJ 08902
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1053548586 (732) 220-0049

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 5

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
643 services133 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
519 services127 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
73 services50 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
18 services18 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08844 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.

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 Rupalben Babaria's NPI number?

The NPI number for Rupalben Babaria is 1134812035. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Rupalben Babaria located?

Rupalben Babaria practices at 35 Baker Cir, Hillsborough, NJ 08844. The listed phone number is (203) 927-7957.

What is Rupalben Babaria's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Rupalben Babaria enrolled in Medicare?

Yes. Rupalben Babaria 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 Rupalben Babaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rupalben Babaria reassigns Medicare benefits to 2 organizations: Central Jersey Medicine And Geriatrics, LLC (Princeton, NJ) and Primary Healthcare LLC (North Brunswick, NJ). 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 Rupalben Babaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rupalben Babaria accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rupalben Babaria 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 Rupalben Babaria was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.