DR. NEAL CARLIN MD
NPI 1245626670
Internal Medicine in Newark, NJ

Q: What is Neal Carlin's NPI number?

The NPI number for Neal Carlin is 1245626670. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Neal Carlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Neal Carlin was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5487 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Neal Carlin Md NPPES

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

DR. NEAL CARLIN MD (NPI 1245626670) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (25MA09625700) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1245626670

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. NEAL CARLINCredential: MD

Location Address111 CENTRAL AVENewark, NJ 07102-1909

Mailing Address111 Central AveNewark, NJ 07102-1909

Phone(973) 877-5487

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 13, 2015

Last NPPES UpdateSeptember 18, 2018

✔ NPI 1245626670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA09625700

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.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 295474 (NY)

111 CENTRAL AVE, Newark, NJ 07102

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Other Identifiers 1

Other295474NY · Ny License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Neal Carlin 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 ID6608128244

PECOS Enrollment IDI20210805002828

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

Medicare enrollment records show Neal Carlin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essex Gastroenterology Associates LLC

2.7 mi

Specialist

5 FRANKLIN AVE, SUITE 109
Belleville, NJ 07109

Reassigned Medicare billing, New Jersey enrollment
6 clinicians in this Medicare group

NPI 1881665305 (973) 759-7240

Barnabas Health Medical Group PC

6.1 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

Dr. Ricardo E. Rodriguez, M.D, P.A.

6.9 mi

Gastroenterology

318 E WESTFIELD AVE
Roselle Park, NJ 07204

Reassigned Medicare billing, New Jersey enrollment
6 clinicians in this Medicare group

NPI 1477728582 (908) 245-2229

Gastroenterology Associates Of Brooklyn PLLC

15 mi

Gastroenterology

1723 E 12TH ST
Brooklyn, NY 11229

Reassigned Medicare billing, New York enrollment
34 clinicians in this Medicare group

NPI 1821427964 (718) 336-3900

Hudson MD Group

15 mi

Family Medicine

464 HUDSON TER STE 201
Englewood Cliffs, NJ 07632

Reassigned Medicare billing, New Jersey enrollment
155 clinicians in this Medicare group

NPI 1497301998 (201) 503-0828

St Josephs Medical PC

193 mi

Family Medicine

5100 W TAFT RD
Liverpool, NY 13088

Reassigned Medicare billing, New York enrollment
625 clinicians in this Medicare group

NPI 1942501747 (315) 452-2828

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.

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.

64 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services32 patients

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.

39 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services27 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

31 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310074

Location355 Grand StreetJersey City, NJ 07302 · Hudson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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 20

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

RAKAN BASSAM AMMARI MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

PAUL V SCOTT CRNA

Registered Nurse

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5043

DR. HOI-WING SUSANNA YIM M.D.

Internal Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

KING EMERGENCY ASSOCIATES, P.A.

Emergency Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

DR. NITA MODI MD

Specialist

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

GATEWAY EMERGENCY SERVICES PC

Emergency Medicine

111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102

Essex County (469) 401-2386

DR. CHRYSTINA MILDRED KIWAN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

KHALED MOHAMMAD KHALED BANI YASEEN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (551) 250-3743

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 Neal Carlin's NPI number?

The NPI number for Neal Carlin is 1245626670. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Neal Carlin located?

Neal Carlin practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5487.

What is Neal Carlin's specialty?

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

Is Neal Carlin enrolled in Medicare?

Yes. Neal Carlin 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 Neal Carlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neal Carlin reassigns Medicare benefits to 6 organizations: Essex Gastroenterology Associates LLC (Belleville, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Dr. Ricardo E. Rodriguez, M.D, P.A. (Roselle Park, NJ), Gastroenterology Associates Of Brooklyn PLLC (Brooklyn, NY), Hudson MD Group (Englewood Cliffs, NJ) 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 Neal Carlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neal Carlin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Neal Carlin 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 Neal Carlin affiliated with any hospitals?

According to CMS data, Neal Carlin is affiliated with Clara Maass Medical Center and Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Neal Carlin was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.