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KARL KENNETH MERCADO TOBIAS
NPI 1144057712
Nurse Practitioner - Acute Care in Edison, NJ

Active since September 18, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karl Kenneth Mercado Tobias NPPES

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

KARL KENNETH MERCADO TOBIAS (NPI 1144057712) is an individual acute care provider in Edison, New Jersey, licensed in New York (433115) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144057712
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameKARL KENNETH MERCADO TOBIAS
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address912 Merritt Dr Apt EHillsborough, NJ 08844-5316
Phone(732) 744-5888
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 18, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1144057712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in NY · 433115✔ Licensed in NJ · 26NR17935600
65 JAMES ST, Edison, NJ 08820
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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

Karl Kenneth Mercado Tobias 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 ID7113452152
PECOS Enrollment IDI20241127001263
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.

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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.

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.

DR. LAMA EL ZEIN M.D
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
MARLINE SPENCER RN, MSN, NP-C
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 744-5537
MARIA P MASIH MD
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
KRISSA MATARLO-SMITH APN
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7733
ASHLEY MARGARITONDO DPT
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
MICHAEL D. CALI MD
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
STACEY JOU MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7070
MERARI SINGH APN
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000

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 Karl Kenneth Tobias's NPI number?

The NPI number for Karl Kenneth Tobias is 1144057712. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Where is Karl Kenneth Tobias located?

Karl Kenneth Tobias practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 744-5888.

What is Karl Kenneth Tobias's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Karl Kenneth Tobias enrolled in Medicare?

Yes. Karl Kenneth Tobias 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.

Is Karl Kenneth Tobias affiliated with any hospitals?

According to CMS data, Karl Kenneth Tobias is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Karl Kenneth Tobias was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.