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HETAL PATEL DMD
NPI 1255798781
Dentist - Pediatric Dentistry in Hamilton, NJ

Active since January 28, 2016PECOS Enrolled
312 ROUTE 33, HAMILTON, NJ 08619(609) 228-3200 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2018, Jan 28, 2016 (2 updates tracked since 2016).

About Hetal Patel Dmd NPPES

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

HETAL PATEL DMD (NPI 1255798781) is an individual pediatric dentistry provider in Hamilton, New Jersey, licensed in New Jersey (DI02677800) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255798781
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameHETAL PATELCredential: DMD
Location Address312 ROUTE 33Hamilton, NJ 08619
Mailing Address405 Arnold DrFlorence, NJ 08518-4005
Phone(609) 228-3200
Sole ProprietorYes
Enumeration DateJanuary 28, 2016
Last NPPES UpdateOctober 19, 20182 updates tracked since enumeration
✔ NPI 1255798781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NJ · DI02677800
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
312 ROUTE 33, Hamilton, NJ 08619
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hetal Patel Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08619 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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

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

COMMUNITY DENTAL OF HAMILTON
Dentist (General Practice)
312 ROUTE 33
HAMILTON, NJ 08619
Mercer County (609) 879-6456

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 Hetal Patel's NPI number?

The NPI number for Hetal Patel is 1255798781. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Hetal Patel located?

Hetal Patel practices at 312 Route 33, Hamilton, NJ 08619. The listed phone number is (609) 228-3200.

What is Hetal Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Hetal Patel enrolled in Medicare?

Yes. Hetal Patel is registered in the Medicare PECOS enrollment system.

What insurance does Hetal Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Hetal 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.

When was this NPI record last updated?

The NPPES record for Hetal Patel was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.