SONAM PATEL APN
NPI 1235728270
Nurse Practitioner - Family in Edison, NJ

Active since January 14, 2021PECOS EnrolledAccepts Medicare Assignment
2110 OAK TREE RD, EDISON, NJ 08820(732) 483-4501 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2021, Apr 1, 2021, Mar 26, 2021 and 2 more (5 updates tracked since 2021).

About Sonam Patel Apn NPPES

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

SONAM PATEL APN (NPI 1235728270) is an individual family provider in Edison, New Jersey, licensed in New Jersey (26NJ01096400) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235728270
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONAM PATELCredential: APN
Location Address2110 OAK TREE RDEdison, NJ 08820-1404
Mailing Address2110 Oak Tree RdEdison, NJ 08820-1404 · (732) 483-4504
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 14, 2021
Last NPPES UpdateApril 7, 20215 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1235728270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01096400
2110 OAK TREE RD, Edison, NJ 08820

Other Identifiers 1

Other26NJ01096400NJ · Nj Board Of Nursing

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

Sonam 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 ID5193181659
PECOS Enrollment IDI20230525002387
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 Sonam 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
Acute Care
205 SOUTH ORANGE AVENUE, DEPT. ONCOLOGY B-1245
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 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.

Hospital Affiliations CMS Care Compare

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

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
2110 OAK TREE RD
EDISON, NJ 08820
Nurse Practitioner (Adult Health)
2110 OAK TREE RD
EDISON, NJ 08820
Physician Assistant
2110 OAK TREE RD
EDISON, NJ 08820

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 Sonam Patel's NPI number?

The NPI number for Sonam Patel is 1235728270. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Sonam Patel located?

Sonam Patel practices at 2110 Oak Tree Rd, Edison, NJ 08820. The listed phone number is (732) 483-4501.

What is Sonam Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sonam Patel enrolled in Medicare?

Yes. Sonam 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 Sonam Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonam Patel reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Scleroderma Program (Piscataway, NJ) and University Hospital (Newark, 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 Sonam Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonam Patel accept?

Health plans from Oscar Health list Sonam 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 Sonam Patel affiliated with any hospitals?

According to CMS data, Sonam Patel is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Sonam Patel was last updated on April 7, 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.