CAROLINA OLIVEIRA FORTES
NPI 1235094830
Nurse Practitioner - Family in Newark, NJ
About Carolina Oliveira Fortes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA OLIVEIRA FORTES (NPI 1235094830) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ15484500) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paramus, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Carolina Oliveira Fortes 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.
Medicare Billing Reassignment
Medicare enrollment records show Carolina Fortes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 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 07105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Carolina Fortes's NPI number?
The NPI number for Carolina Fortes is 1235094830. It was assigned to this individual provider in the NPPES registry on December 17, 2025.
Where is Carolina Fortes located?
Carolina Fortes practices at 40-44 Rome St Apt 4, Newark, NJ 07105. The listed phone number is (973) 449-1504.
What is Carolina Fortes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolina Fortes enrolled in Medicare?
Yes. Carolina Fortes 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 organization bills Medicare for Carolina Fortes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Fortes reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty 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 Carolina Fortes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolina Fortes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carolina Fortes 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 Carolina Fortes was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Carolina Oliveira Fortes · NPI 1235094830
Family physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since December 17, 2025.
## Identity
- **NPI:** 1235094830 (Entity type: Individual)
- **Enumerated:** December 17, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15484500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 40-44 ROME ST APT 4, Newark, NJ 07105-3350
- **Phone:** (973) 449-1504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235094830) · Data from the CMS NPPES public registry.