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NIDHI MISTRY DO
NPI 1174228621
Pediatrics in Neptune, NJ

Active since April 04, 2023PECOS Enrolled
1944 STATE ROUTE 33 STE 204, NEPTUNE, NJ 07753(732) 455-8559 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 7, 2026, Jul 17, 2026, Apr 4, 2023 (3 updates tracked since 2023).

About Nidhi Mistry Do NPPES

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

NIDHI MISTRY DO (NPI 1174228621) is an individual pediatrics provider in Neptune, New Jersey, licensed in New Jersey (25MB13234600) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Lake Erie Col Of Osteo Med At Seton Hill Univ (2023).

NPPES Registry Identity

NPI1174228621
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNIDHI MISTRYCredential: DO
Location Address1944 STATE ROUTE 33 STE 204Neptune, NJ 07753-4863
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Phone(732) 455-8559
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1174228621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB13234600
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1944 STATE ROUTE 33 STE 204, Neptune, NJ 07753
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, 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 (PECOS)

Nidhi Mistry Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224598628
PECOS Enrollment IDI20260904000983
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 Nidhi Mistry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC
9.3 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Nidhi Mistry's NPI number?

The NPI number for Nidhi Mistry is 1174228621. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Nidhi Mistry located?

Nidhi Mistry practices at 1944 State Route 33 Ste 204, Neptune, NJ 07753. The listed phone number is (732) 455-8559.

What is Nidhi Mistry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nidhi Mistry enrolled in Medicare?

Yes. Nidhi Mistry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nidhi Mistry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Mistry reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, 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 Nidhi Mistry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nidhi Mistry accept?

Health plans from Ambetter Health and Oscar Health list Nidhi Mistry 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 Nidhi Mistry was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.