PRANALI PATEL DDS,MSD
NPI 1154833770
Dentist - Orthodontics and Dentofacial Orthopedics in Hackettstown, NJ

Active since November 05, 2017PECOS Enrolled
486 SCHOOLEYS MOUNTAIN RD STE 2A, HACKETTSTOWN, NJ 07840(908) 852-9899(908) 852-2008 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2019, Nov 5, 2017 (2 updates tracked since 2017).

About Pranali Patel Dds,msd NPPES

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

PRANALI PATEL DDS,MSD (NPI 1154833770) is an individual orthodontics and dentofacial orthopedics provider in Hackettstown, New Jersey, licensed in New Jersey (2882600) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154833770
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NamePRANALI PATELCredential: DDS,MSD
Location Address486 SCHOOLEYS MOUNTAIN RD STE 2AHackettstown, NJ 07840-4000
Mailing Address486 Schooleys Mountain Rd Ste 2aHackettstown, NJ 07840-4000 · (908) 852-9899
Fax(908) 852-2008
Sole ProprietorNo
Enumeration DateNovember 5, 2017
Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
NPI 1154833770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in NJ · 2882600 Licensed in PA · DS043856
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
486 SCHOOLEYS MOUNTAIN RD STE 2A, Hackettstown, NJ 07840

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pranali Patel Dds,msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07840 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
486 SCHOOLEYS MOUNTAIN RD STE 2A
HACKETTSTOWN, NJ 07840
Clinic/Center (Physical Therapy)
486 SCHOOLEYS MOUNTAIN RD STE 2A
HACKETTSTOWN, NJ 07840

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 Pranali Patel's NPI number?

The NPI number for Pranali Patel is 1154833770. It was assigned to this individual provider in the NPPES registry on November 5, 2017.

Where is Pranali Patel located?

Pranali Patel practices at 486 Schooleys Mountain Rd Ste 2A, Hackettstown, NJ 07840. The listed phone number is (908) 852-9899.

What is Pranali Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Pranali Patel enrolled in Medicare?

Yes. Pranali Patel is registered in the Medicare PECOS enrollment system.

What insurance does Pranali Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Pranali 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.

When was this NPI record last updated?

The NPPES record for Pranali Patel was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.