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DR. JORGE L. VEREA MD
NPI 1164469540
Specialist in West New York, NJ

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
6500 BROADWAY, WEST NEW YORK, NJ 07093(201) 864-3456(201) 869-7224 Get Directions Write a Review

NPPES record last updated: January 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jorge L. Verea Md NPPES

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

DR. JORGE L. VEREA MD (NPI 1164469540) is an individual specialist in West New York, New Jersey, licensed in New Jersey (47302) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Palisades Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1164469540
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JORGE L. VEREACredential: MD
Location Address6500 BROADWAYWest New York, NJ 07093-3112
Mailing Address6500 BroadwayWest New York, NJ 07093-3112 · (201) 864-3456 · Fax (201) 869-7224
Phone(201) 864-3456
Fax(201) 869-7224
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJune 2, 2006
Last NPPES UpdateJanuary 13, 2013
✔ NPI 1164469540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 47302
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6500 BROADWAY, West New York, NJ 07093
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Other Identifiers 3

Medicare ID-Type UnspecifiedVE520909NJ
Medicare UPIND06809NJ
Medicaid3813207NJ

Accepted Insurance

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

Dr. Jorge L. Verea 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 ID4284677352
PECOS Enrollment IDI20050609000302
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 Reassignment

Medicare enrollment records show Jorge Verea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excelcare Medical Associates, PA
6.4 mi
Internal Medicine
718 TEANECK RD
Teaneck, NJ 07666
  • Reassigned Medicare billing, New Jersey enrollment
  • 233 clinicians in this Medicare group
NPI 1992736300 (201) 833-3000

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 7

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 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.
135 services75 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services36 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
35 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
28 services28 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.
25 services17 patients

Hospital Affiliations CMS Care Compare

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

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
58%2,089 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%52 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
41%527 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
44%527 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims29 services$4.77 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$40.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MAURICIO VELASCO M.D.
Internal Medicine
6500 BROADWAY
WEST NEW YORK, NJ 07093
Hudson County (201) 864-3456
BROADWAY MEDICAL ASSOCIATES LLC
Internal Medicine
6500 BROADWAY
WEST NEW YORK, NJ 07093
Hudson County (201) 864-3456

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 Jorge Verea's NPI number?

The NPI number for Jorge Verea is 1164469540. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Jorge Verea located?

Jorge Verea practices at 6500 Broadway, West New York, NJ 07093. The listed phone number is (201) 864-3456.

What is Jorge Verea's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jorge Verea enrolled in Medicare?

Yes. Jorge Verea 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 organization bills Medicare for Jorge Verea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Verea reassigns Medicare benefits to Excelcare Medical Associates, PA (Teaneck, NJ). The 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 Jorge Verea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Verea accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jorge Verea 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 Jorge Verea affiliated with any hospitals?

According to CMS data, Jorge Verea is affiliated with Palisades Medical Center.

When was this NPI record last updated?

The NPPES record for Jorge Verea was last updated on January 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.