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NISHEET PRASAD MD
NPI 1144258856
Internal Medicine - Rheumatology in Jamesburg, NJ

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
100 LAKEVIEW DR STE 2, JAMESBURG, NJ 08831(732) 605-1800(732) 521-1600 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2020, Jun 21, 2016 (2 updates tracked since 2016).

About Nisheet Prasad Md NPPES

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

NISHEET PRASAD MD (NPI 1144258856) is an individual rheumatology provider in Jamesburg, New Jersey, licensed in New Jersey (25MA08039500) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1144258856
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameNISHEET PRASADCredential: MD
Location Address100 LAKEVIEW DR STE 2Jamesburg, NJ 08831-2601
Mailing Address15 Hannah CourtMonroe, NJ 08831 · (732) 236-4045
Phone(732) 605-1800
Fax(732) 521-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1144258856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NJ · 25MA08039500
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA08039500 (NJ)
100 LAKEVIEW DR STE 2, Jamesburg, NJ 08831
Open in Google Maps ↗

Other Identifiers 1

Medicaid1144258856ME

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

Nisheet Prasad 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 ID2365440179
PECOS Enrollment IDI20061109000552
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

7

Medicare enrollment records show Nisheet Prasad reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monroe Rheumatology And Endocrinology LLC
Same address
Rheumatology
100 LAKEVIEW DR STE 2
Jamesburg, NJ 08831
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1407374895 (732) 605-1900
Holmdel Physician Associates
10 mi
Hospitalist
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 94 clinicians in this Medicare group
NPI 1346647328 (732) 431-2000
Liberty Med Associates LLC
14 mi
Foot & Ankle Surgery
1 BETHANY RD STE 21
Hazlet, NJ 07730
  • Reassigned Medicare billing, New Jersey enrollment
  • 80 clinicians in this Medicare group
NPI 1386279552 (732) 264-8282
Garden State Healthcare Associates, LLC
28 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Beacon Radiology Solutions LLC
30 mi
Diagnostic Radiology
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Two River Physician Associates
  • 60 clinicians in this Medicare group
NPI 1417354333 (973) 322-5000
The Radiology Group Of New Jersey, LLC
41 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621
Medical Office Force
662 mi
Internal Medicine
2005 PRINCE AVENUE
Athens, GA 30606
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1508378613 (706) 208-9700

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 10

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.

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
2,386 services21 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,620 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
830 services244 patients
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.
521 services171 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
152 services45 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
111 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08831 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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 5

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

MONROE RHEUMATOLOGY AND ENDOCRINOLOGY LLC
Internal Medicine (Rheumatology)
100 LAKEVIEW DR STE 2
JAMESBURG, NJ 08831
Middlesex County (732) 605-1900
RHEUMATOLOGY CARE LLC
Internal Medicine (Rheumatology)
100 LAKEVIEW DR STE 2
JAMESBURG, NJ 08831
Middlesex County (732) 605-1800
RHEUM & ENDO CARE
Internal Medicine (Rheumatology)
100 LAKEVIEW DR STE 2
JAMESBURG, NJ 08831
Middlesex County (732) 605-1800
SHILPI SINGH MD, MPH
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 LAKEVIEW DR STE 2
JAMESBURG, NJ 08831
Middlesex County (402) 280-2010
ENDOCRINOLOGY CARE, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 LAKEVIEW DR STE 2
JAMESBURG, NJ 08831
Middlesex County (732) 605-1800

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 Nisheet Prasad's NPI number?

The NPI number for Nisheet Prasad is 1144258856. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Nisheet Prasad located?

Nisheet Prasad practices at 100 Lakeview Dr Ste 2, Jamesburg, NJ 08831. The listed phone number is (732) 605-1800.

What is Nisheet Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nisheet Prasad enrolled in Medicare?

Yes. Nisheet Prasad 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 Nisheet Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisheet Prasad reassigns Medicare benefits to 7 organizations: Monroe Rheumatology And Endocrinology LLC (Jamesburg, NJ), Holmdel Physician Associates (Freehold, NJ), Liberty Med Associates LLC (Hazlet, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ), Beacon Radiology Solutions LLC (Livingston, NJ) and 2 more organizations, listed in the Medicare section above. 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 Nisheet Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisheet Prasad accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nisheet Prasad 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 Nisheet Prasad affiliated with any hospitals?

According to CMS data, Nisheet Prasad is affiliated with Ocean Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Nisheet Prasad was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.