DR. ASHISH KAPOOR M.D.
NPI 1164733739
Psychiatry & Neurology - Neurology in Bayonne, NJ

Q: What is Ashish Kapoor's NPI number?

The NPI number for Ashish Kapoor is 1164733739. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Q: What is Ashish Kapoor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Ashish Kapoor was last updated on September 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

631 BROADWAY, THIRD FLOOR, BAYONNE, NJ 07002(732) 763-2269 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Ashish Kapoor M.d. NPPES

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

DR. ASHISH KAPOOR M.D. (NPI 1164733739) is an individual neurology provider in Bayonne, New Jersey, licensed in Arizona (R72320) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164733739

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. ASHISH KAPOORCredential: M.D.

Location Address631 BROADWAY, THIRD FLOORBayonne, NJ 07002-3846

Mailing AddressPo Box 4302Warren, NJ 07059-0302 · (732) 763-2269

Phone(732) 763-2269

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 29, 2010

Last NPPES UpdateSeptember 15, 2014

✔ NPI 1164733739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in AZ · R72320

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

631 BROADWAY, Bayonne, NJ 07002

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashish Kapoor M.d. 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 ID7618297458

PECOS Enrollment IDI20150519002526

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.

Areas of Expertise CMS Part B claims 23

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.

459 services222 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

288 services63 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

243 services61 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

150 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

137 services125 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

63 services63 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

60 services42 patients

Complete ultrasound of within the brain blood flow 93886

A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.

52 services51 patients

Ultrasound of within the brain blood flow following medication 93890

An ultrasound of the brain's blood flow after medication is a non-invasive procedure that uses sound waves to create images of the blood flow within your brain. This helps monitor how the medication is affecting your brain's blood circulation.

52 services51 patients

Ultrasound of within the brain blood flow for blood clots 93892

An ultrasound of the brain's blood flow is a safe, non-invasive procedure that uses sound waves to create images of the blood vessels. This helps identify any blockages, like blood clots, that might disrupt normal blood flow and cause health issues.

52 services51 patients

Measurement of brain wave activity (eeg), 61-119 minutes 95813

The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.

51 services51 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

48 services37 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

35 services35 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

33 services33 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician 93040

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. It uses 1 to 3 leads (sensors) placed on your skin. A physician reviews the results to assess heart rate, rhythm, and detect any abnormalities.

26 services26 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

26 services26 patients

Measurement of brain wave activity (eeg), digital analysis 95957

The measurement of brain wave activity, or EEG, involves recording and analyzing electrical signals from your brain. Small sensors are placed on the scalp to capture these signals. This digital analysis helps in diagnosing conditions like epilepsy or sleep disorders.

26 services26 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

26 services26 patients

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

26 services26 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

25 services24 patients

Measurement of nerve conduction using visual stimulation testing with report 95930

This procedure involves testing the speed and strength of signals traveling through your nerves, using visual stimuli. It helps identify any nerve damage or dysfunction. A report of the results is provided for further analysis.

24 services24 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

21 services21 patients

Nerve conduction, 13 or more studies 95913

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310025

Location29 East 29th StBayonne, NJ 07002 · Hudson County

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07002 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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

45%224 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

24%224 patients2/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

0%215 patients1/55-star benchmark: 88%

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…

51%228 patients3/55-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

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

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631

DME-Orthotic Devices · category DF007N

1 supplier13 claims13 services$830.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 17

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

MRS. RACHEL ERLICH OT

Specialist

631 BROADWAY
BAYONNE, NJ 07002

Hudson County (201) 437-0313

NJ PAIN REHABILITATION GROUP, PC

Family Medicine

631 BROADWAY, FIRST FLOOR
BAYONNE, NJ 07002

Hudson County (973) 751-2060

VINOD KAPOOR M.D.

Specialist

631 BROADWAY, 3RD FLOOR
BAYONNE, NJ 07002

Hudson County (201) 823-2888

DR. JACK BOGHOSSIAN M.D.

Internal Medicine (Infectious Disease)

631 BROADWAY
BAYONNE, NJ 07002

Hudson County (973) 364-2682

INFECTIOUS DISEASE GROUP OF NORTH JERSEY

Internal Medicine (Infectious Disease)

631 BROADWAY
BAYONNE, NJ 07002

Hudson County (239) 597-0704

HOOSHANG SADEGHI M.D.

Specialist

631 BROADWAY, 3RD FLOOR
BAYONNE, NJ 07002

Hudson County (201) 823-2888

MR. DAVID MICHAEL FENIGER P.T.

Physical Therapist

631 BROADWAY
BAYONNE, NJ 07002

Hudson County (210) 437-0313

TITAN HEALTH PARTNERS LLC

Internal Medicine (Hematology & Oncology)

631 BROADWAY
BAYONNE, NJ 07002

Hudson County (201) 333-8248

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 Ashish Kapoor's NPI number?

The NPI number for Ashish Kapoor is 1164733739. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Ashish Kapoor located?

Ashish Kapoor practices at 631 Broadway Third Floor, Bayonne, NJ 07002. The listed phone number is (732) 763-2269.

What is Ashish Kapoor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ashish Kapoor enrolled in Medicare?

Yes. Ashish Kapoor 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.

What insurance does Ashish Kapoor accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ashish Kapoor 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 Ashish Kapoor affiliated with any hospitals?

According to CMS data, Ashish Kapoor is affiliated with Hackensack University Medical Center, Holy Name Medical Center, St Joseph's University Medical Center Inc, Carepoint Health - Bayonne Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Ashish Kapoor was last updated on September 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.