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DHRUVI PATEL
NPI 1255815437
Dentist in North Brunswick, NJ

Active since September 24, 2018PECOS Enrolled
1501 FINNEGAN LN, NORTH BRUNSWICK, NJ 08902(732) 607-8229 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dhruvi Patel NPPES

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

DHRUVI PATEL (NPI 1255815437) is an individual dentist in North Brunswick, New Jersey, licensed in New Jersey (22DI02732300) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255815437
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDHRUVI PATEL
Location Address1501 FINNEGAN LNNorth Brunswick, NJ 08902-1061
Mailing Address20 Hidden Lake DrNorth Brunswick, NJ 08902-1202 · (848) 213-3153
Phone(732) 607-8229
Sole ProprietorNo
Enumeration DateSeptember 24, 2018
✔ NPI 1255815437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 22DI02732300
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1501 FINNEGAN LN, North Brunswick, NJ 08902
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dhruvi Patel 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.

Medicare Billing Reassignment

Medicare enrollment records show Dhruvi Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Jersey Medical Center, Inc.
14 mi
Federally Qualified Health Center (FQHC)
275 HOBART ST
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey enrollment
  • 84 clinicians in this Medicare group
NPI 1306891791 (732) 376-9333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08902 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Dhruvi Patel's NPI number?

The NPI number for Dhruvi Patel is 1255815437. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Dhruvi Patel located?

Dhruvi Patel practices at 1501 Finnegan Ln, North Brunswick, NJ 08902. The listed phone number is (732) 607-8229.

What is Dhruvi Patel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dhruvi Patel enrolled in Medicare?

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

Which organization bills Medicare for Dhruvi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhruvi Patel reassigns Medicare benefits to Central Jersey Medical Center, Inc. (Perth Amboy, NJ). The 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 Dhruvi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhruvi Patel accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Dhruvi 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 Dhruvi Patel was last updated on September 24, 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.