VIBHUTI D PATEL APN
NPI 1194316042
Nurse Practitioner - Acute Care in Hackensack, NJ

Active since February 02, 2021PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE STE HVH 2525, HACKENSACK, NJ 07601(551) 206-5218 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vibhuti D Patel Apn NPPES

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

VIBHUTI D PATEL APN (NPI 1194316042) is an individual acute care provider in Hackensack, New Jersey, licensed in New Jersey (26NJ01096600) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194316042
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameVIBHUTI D PATELCredential: APN
Location Address30 PROSPECT AVE STE HVH 2525Hackensack, NJ 07601-1915
Mailing Address733 Eaton StElizabeth, NJ 07202-1617 · (847) 975-5140
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 2, 2021
NPPES CertifiedJanuary 30, 2021
✔ NPI 1194316042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ01096600
30 PROSPECT AVE STE HVH 2525, Hackensack, NJ 07601

Accepted 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

Vibhuti D Patel Apn 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 ID4789020322
PECOS Enrollment IDI20240306001526
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 Reassignments

2

Medicare enrollment records show Vibhuti Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
675 HOES LN W
Piscataway, NJ 08854
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 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.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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 Vibhuti Patel's NPI number?

The NPI number for Vibhuti Patel is 1194316042. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Vibhuti Patel located?

Vibhuti Patel practices at 30 Prospect Ave Ste Hvh 2525, Hackensack, NJ 07601. The listed phone number is (551) 206-5218.

What is Vibhuti Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Vibhuti Patel enrolled in Medicare?

Yes. Vibhuti Patel 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 organizations bill Medicare for Vibhuti Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vibhuti Patel reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Scleroderma Program (Piscataway, NJ) and Robert Wood Johnson Medical Associates (New Brunswick, NJ). Each 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 Vibhuti Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vibhuti Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Vibhuti 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 Vibhuti Patel affiliated with any hospitals?

According to CMS data, Vibhuti Patel is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Vibhuti Patel was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.