DANIELA FRANKOVA MD
NPI 1235376328
Internal Medicine in Toms River, NJ

Active since January 12, 2009PECOS EnrolledAccepts Medicare Assignment
67 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 557-2831 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2026, Feb 2, 2026, Jan 28, 2026 (3 updates tracked since 2026).

About Daniela Frankova Md NPPES

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

DANIELA FRANKOVA MD (NPI 1235376328) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (25IA12751000) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1235376328
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDANIELA FRANKOVACredential: MD
Location Address67 ROUTE 37 WToms River, NJ 08755-6400
Mailing Address67 Route 37 WToms River, NJ 08755-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 12, 2009
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1235376328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NJ · 25IA12751000 Licensed in IA · MD-38382 Licensed in IA · 38382
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

67 ROUTE 37 W, Toms River, NJ 08755

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniela Frankova Md 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 ID3971659103
PECOS Enrollment IDI20260107001296
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.

Areas of Expertise CMS Part B claims 5

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 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.
260 services105 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
77 services76 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
67 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services15 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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.

Other Providers at the Same Location NPPES 8

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

Urology
67 ROUTE 37 W, RIVERWOOD 2 SUITE 1
TOMS RIVER, NJ 08755
Pediatrics (Pediatric Pulmonology)
67 ROUTE 37 W, RIVERWOOD II BLDG. 3RD FLOOR
TOMS RIVER, NJ 08755
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 ROUTE 37 W, RIVERWOOD BUILDING # 2
TOMS RIVER, NJ 08755
Nurse Practitioner (Primary Care)
67 ROUTE 37 W, RIVERWOOD II
TOMS RIVER, NJ 08755
Internal Medicine (Cardiovascular Disease)
67 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner
67 ROUTE 37 W
TOMS RIVER, NJ 08755
Internal Medicine (Hematology & Oncology)
67 ROUTE 37 W
TOMS RIVER, NJ 08755
Non-Pharmacy Dispensing Site
67 ROUTE 37 W
TOMS RIVER, NJ 08755

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 Daniela Frankova's NPI number?

The NPI number for Daniela Frankova is 1235376328. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Daniela Frankova located?

Daniela Frankova practices at 67 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 557-2831.

What is Daniela Frankova's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniela Frankova enrolled in Medicare?

Yes. Daniela Frankova 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.

What insurance does Daniela Frankova accept?

Health plans from Medica and Oscar Insurance Company list Daniela Frankova 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 Daniela Frankova affiliated with any hospitals?

According to CMS data, Daniela Frankova is affiliated with Mercyone Des Moines Medical Center and Community Medical Center.

When was this NPI record last updated?

The NPPES record for Daniela Frankova was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.