FAISAL NAGARWALA M.D.
NPI 1245528629
Family Medicine in Clifton, NJ
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
Specialties & Licenses
Group Practice 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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Faisal Nagarwala reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clifton, NJ 07013
- Reassigned Medicare billing, New Jersey enrollment
New York, NY 10007
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Ny Medical Factor PC
- 14 clinicians in this Medicare group
Spring Valley, NY 10977
- Reassigned Medicare billing, New York enrollment
- 206 clinicians in this Medicare group
Tarrytown, NY 10591
- Reassigned Medicare billing, New York enrollment
- 65 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Warren, NJ 07059
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Rpm Care Coordination, PA
- 11 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.
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.
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, NJPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Faisal Nagarwala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Faisal Nagarwala reassigns Medicare benefits to 6 organizations: Completecure Medical Associates, LLC (Clifton, NJ), Ny Medical Factor, P.C. (New York, NY), Refuah Health Center, Inc. (Spring Valley, NY), Phelps Memorial Hospital Association (Tarrytown, NY), North Shore-Lij Medical PC (Great Neck, NY) 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 Faisal Nagarwala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Faisal Nagarwala accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health 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.
# Faisal Nagarwala, M.D. · NPI 1245528629
Family Medicine physician in Clifton, New Jersey. Individual provider, active in the CMS NPPES registry since July 19, 2011.
## Identity
- **NPI:** 1245528629 (Entity type: Individual)
- **Enumerated:** July 19, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 262326 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1005 CLIFTON AVE, STE 201, Clifton, NJ 07013-3523
- **Phone:** (732) 491-3500
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Completecure Medical Associates, LLC (NPI 1790253722, Clifton, NJ); Ny Medical Factor, P.C. (NPI 1770233132, New York, NY); Refuah Health Center, Inc. (NPI 1952678245, Spring Valley, NY); Phelps Memorial Hospital Association (NPI 1497917983, Tarrytown, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245528629) · Data from the CMS NPPES public registry.