NIKUNJKUMAR PATEL
NPI 1174039309
Internal Medicine - Endocrinology, Diabetes & Metabolism in Toms River, NJ
About Nikunjkumar Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKUNJKUMAR PATEL (NPI 1174039309) is an individual endocrinology, diabetes & metabolism provider in Toms River, New Jersey, licensed in New Jersey (25MA10366100) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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)
Nikunjkumar Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Medical Center
Acute Care Hospitals · Toms River, NJOcean Medical Center
Acute Care Hospitals · Brick, NJMonmouth Medical Center
Acute Care Hospitals · Long Branch, NJJfk Medical Center
Acute Care Hospitals · Edison, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
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 Nikunjkumar Patel's NPI number?
The NPI number for Nikunjkumar Patel is 1174039309. It was assigned to this individual provider in the NPPES registry on December 26, 2017.
Where is Nikunjkumar Patel located?
Nikunjkumar Patel practices at 99 Rte 37 W, Toms River, NJ 08755. The listed phone number is (732) 781-6428.
What is Nikunjkumar Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Nikunjkumar Patel enrolled in Medicare?
Yes. Nikunjkumar Patel is registered in the Medicare PECOS enrollment system.
What insurance does Nikunjkumar Patel accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Nikunjkumar 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.
Is Nikunjkumar Patel affiliated with any hospitals?
According to CMS data, Nikunjkumar Patel is affiliated with Community Medical Center, Ocean Medical Center, Monmouth Medical Center, Jfk Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Nikunjkumar Patel was last updated on July 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
