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AMY RAJ PATEL M.D.
NPI 1225439748
Internal Medicine - Nephrology in Brick, NJ

Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
1541 ROUTE 88 W STE A, BRICK, NJ 08724(732) 836-3200(732) 836-3201 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Apr 17, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Amy Raj Patel M.d. NPPES

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

AMY RAJ PATEL M.D. (NPI 1225439748) is an individual nephrology provider in Brick, New Jersey, licensed in New Jersey (25MA09737800) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Toms River.

NPPES Registry Identity

NPI1225439748
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameAMY RAJ PATELCredential: M.D.
Location Address1541 ROUTE 88 W STE ABrick, NJ 08724-2373
Mailing Address1541 Route 88 W Ste ABrick, NJ 08724-2373 · (732) 836-3200 · Fax (732) 836-3201
Phone(732) 836-3200
Fax(732) 836-3201
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 16, 2014
Last NPPES UpdateApril 10, 20254 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1225439748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in NJ · 25MA09737800✔ Licensed in GA · 75225
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1541 ROUTE 88 W STE A, Brick, NJ 08724
Open in Google Maps ↗

Secondary Practice Location 1

Location 12A Plaza DrToms River, NJ 08757-3756 · Phone (732) 818-0700 · Fax (732) 818-0730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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 and accepts Medicare assignment

Amy Raj Patel 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 ID6901100163
PECOS Enrollment IDI20160209000108
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

6

Medicare enrollment records show Amy Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jersey Coast Nephrology And Hypertension Associates LLC
Same address
Nephrology
1541 ROUTE 88, SUITE A
Brick, NJ 08724
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
NPI 1740204494 (732) 836-3200
Holmdel Physician Associates
14 mi
Hospitalist
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 94 clinicians in this Medicare group
NPI 1346647328 (732) 431-2000
Hackensack Meridian Health Medical Group - Specialty Care PC
18 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Liberty Med Associates LLC
23 mi
Internal Medicine
999 PALMER AVE STE 1
Holmdel, NJ 07733
  • Reassigned Medicare billing, New Jersey enrollment
  • 80 clinicians in this Medicare group
NPI 1366983033 (732) 267-3313
Beacon Radiology Solutions LLC
48 mi
Diagnostic Radiology
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Two River Physician Associates
  • 60 clinicians in this Medicare group
NPI 1417354333 (973) 322-5000
St. Luke's Warren Physician Group, PC
56 mi
Urgent Care
22 WALMART PLAZA
Clinton, NJ 08809
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
NPI 1841650348 (999) 999-9999

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 9

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.

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.
698 services299 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
543 services290 patients
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.
440 services190 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.
243 services233 patients
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.
102 services42 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
87 services55 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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 Amy Patel's NPI number?

The NPI number for Amy Patel is 1225439748. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Amy Patel located?

Amy Patel practices at 1541 Route 88 W Ste A, Brick, NJ 08724. The listed phone number is (732) 836-3200.

What is Amy Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Amy Patel enrolled in Medicare?

Yes. Amy 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 Amy Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Patel reassigns Medicare benefits to 6 organizations: Jersey Coast Nephrology And Hypertension Associates LLC (Brick, NJ), Holmdel Physician Associates (Freehold, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Liberty Med Associates LLC (Holmdel, NJ), Beacon Radiology Solutions LLC (Livingston, NJ) and 1 more organization, listed in the Medicare section above. 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 Amy Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Patel accept?

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

According to CMS data, Amy Patel is affiliated with Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Patel was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.