FAISAL NAGARWALA M.D.
NPI 1245528629
Family Medicine in Clifton, NJ

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1005 CLIFTON AVE, STE 201, CLIFTON, NJ 07013(732) 491-3500 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Feb 2, 2016 (2 updates tracked since 2016).

About Faisal Nagarwala M.d. NPPES

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

FAISAL NAGARWALA M.D. (NPI 1245528629) is an individual family medicine provider in Clifton, New Jersey, licensed in New York (262326) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245528629
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFAISAL NAGARWALACredential: M.D.
Location Address1005 CLIFTON AVE, STE 201Clifton, NJ 07013-3523
Mailing Address218 Bennington TerParamus, NJ 07652-1334 · (732) 491-3500
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 19, 2011
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1245528629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 262326 Licensed in NJ · 25MA10328100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1005 CLIFTON AVE, Clifton, NJ 07013

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Faisal Nagarwala 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 ID2860664158
PECOS Enrollment IDI20111010000537, I20190401002061
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 10

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.

Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days 98976
This service involves providing a device that records and transmits data about your respiratory system. It helps in remote monitoring of your breathing patterns for a period of 30 days. This method aids in early detection of any potential respiratory issues.
9,259 services3,076 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
3,578 services601 patients
Set-up and patient education for remote monitoring of therapy 98975
Remote therapy monitoring involves using digital devices to track your health and treatment progress from home. You'll receive a device to record health data, like heart rate or blood sugar. This data is shared with your healthcare team, allowing them to adjust your treatment as needed.
1,122 services1,105 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 98980
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health data remotely. This could include vital signs or other health information. The professional will manage your treatment for the first 20 minutes each month, adjusting as necessary based on the data received.
959 services653 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
432 services220 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month 98981
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health remotely. They evaluate data from medical devices, adjust your treatment plan if necessary, and communicate with you about your health. This service is for an additional 20 minutes per month.
201 services130 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 12

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

Podiatrist
1005 CLIFTON AVE, 105
CLIFTON, NJ 07013
Allergy & Immunology (Allergy)
1005 CLIFTON AVE, SUITE 4
CLIFTON, NJ 07013
Ophthalmology
1005 CLIFTON AVE
CLIFTON, NJ 07013
Psychologist (Clinical)
1005 CLIFTON AVE
CLIFTON, NJ 07013
Ophthalmology
1005 CLIFTON AVE
CLIFTON, NJ 07013
Eyewear Supplier
1005 CLIFTON AVE
CLIFTON, NJ 07013
Dentist (Orthodontics and Dentofacial Orthopedics)
1005 CLIFTON AVE
CLIFTON, NJ 07013
Internal Medicine
1005 CLIFTON AVE
CLIFTON, NJ 07013

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 Faisal Nagarwala's NPI number?

The NPI number for Faisal Nagarwala is 1245528629. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Faisal Nagarwala located?

Faisal Nagarwala practices at 1005 Clifton Ave Ste 201, Clifton, NJ 07013. The listed phone number is (732) 491-3500.

What is Faisal Nagarwala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Faisal Nagarwala enrolled in Medicare?

Yes. Faisal Nagarwala 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 Faisal Nagarwala accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Faisal Nagarwala 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 Faisal Nagarwala affiliated with any hospitals?

According to CMS data, Faisal Nagarwala is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Faisal Nagarwala was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.