PRABHA J NAIR M.D.
NPI 1174559207
Pediatrics in Bridgeton, NJ

Active since June 23, 2006PECOS Enrolled
70 COHANSEY ST, BRIDGETON, NJ 08302(856) 451-4700(856) 451-0029 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prabha J Nair M.d. NPPES

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

PRABHA J NAIR M.D. (NPI 1174559207) is an individual pediatrics provider in Bridgeton, New Jersey, licensed in New Jersey (MA05991300) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174559207
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRABHA J NAIRCredential: M.D.
Location Address70 COHANSEY STBridgeton, NJ 08302-1918
Mailing Address53 S Laurel St, Second FloorBridgeton, NJ 08302-1946 · (856) 451-4700 · Fax (856) 863-5732
Fax(856) 451-0029
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateFebruary 24, 2012
✔ NPI 1174559207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA05991300
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.
70 COHANSEY ST, Bridgeton, NJ 08302

Other Identifiers 2

Medicare ID-Type Unspecified097870NJ
Medicare UPING41458NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prabha J Nair M.d. 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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
30 NORTH PEARL STREET
Bridgeton, NJ 08302
  • Reassigned Medicare billing, New Jersey enrollment
  • 281 clinicians in this Medicare group

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 08302 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.

Other Providers at the Same Location NPPES 15

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

Licensed Practical Nurse
70 COHANSEY ST
BRIDGETON, NJ 08302
Counselor (Mental Health)
70 COHANSEY ST
BRIDGETON, NJ 08302
Licensed Practical Nurse
70 COHANSEY ST
BRIDGETON, NJ 08302
Dentist
70 COHANSEY ST
BRIDGETON, NJ 08302
Internal Medicine
70 COHANSEY ST
BRIDGETON, NJ 08302
Nurse Practitioner (Women's Health)
70 COHANSEY ST
BRIDGETON, NJ 08302
Counselor (Professional)
70 COHANSEY ST
BRIDGETON, NJ 08302
Midwife
70 COHANSEY ST
BRIDGETON, NJ 08302

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 Prabha Nair's NPI number?

The NPI number for Prabha Nair is 1174559207. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Prabha Nair located?

Prabha Nair practices at 70 Cohansey St, Bridgeton, NJ 08302. The listed phone number is (856) 451-4700.

What is Prabha Nair's specialty?

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

Is Prabha Nair enrolled in Medicare?

Yes. Prabha Nair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prabha Nair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prabha Nair reassigns Medicare benefits to Community Health Care, Inc. (Bridgeton, 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 Prabha Nair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prabha Nair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Prabha Nair 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 Prabha Nair was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.