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PAULA PRANAY AMIN MD
NPI 1255835435
Family Medicine in Atlantic City, NJ

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
7 S OHIO AVE STE 2100, ATLANTIC CITY, NJ 08401(609) 441-8146 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2024, Nov 17, 2023, Mar 21, 2018 (3 updates tracked since 2018).

About Paula Pranay Amin Md NPPES

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

PAULA PRANAY AMIN MD (NPI 1255835435) is an individual family medicine provider in Atlantic City, New Jersey, licensed in New Jersey (25MA11208700) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of University Of Pittsburgh School Of Medicine (2018).

NPPES Registry Identity

NPI1255835435
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePAULA PRANAY AMINCredential: MD
Location Address7 S OHIO AVE STE 2100Atlantic City, NJ 08401-6711
Mailing Address331 Neman Springs Rd, Bldg 2, Ste 200Red Bank, NJ 07701 · (732) 807-0880 · Fax (732) 791-9577
Phone(609) 441-8146
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateOctober 16, 20243 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1255835435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA11208700
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.
7 S OHIO AVE STE 2100, Atlantic City, NJ 08401
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Other Identifiers 1

Medicaid0798339NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Paula Pranay Amin 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 ID5799032454
PECOS Enrollment IDI20211004001870
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

2

Medicare enrollment records show Paula Amin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
7 S OHIO AVE STE 2100
Atlantic City, NJ 08401
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
NPI 1407574635 (609) 572-8800
Atlanticare Physician Group, PA
10 mi
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1003820622 (609) 748-2100

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 3

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.

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.
110 services52 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 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
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims14 services$1.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. PHILLIP CHARLES FELICIANO MD
Family Medicine
7 S OHIO AVE STE 2100
ATLANTIC CITY, NJ 08401
Atlantic County (609) 572-8800
ATLANTICARE HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
7 S OHIO AVE STE 2100
ATLANTIC CITY, NJ 08401
Atlantic County (609) 572-8800
DR. ZACHARY QUINN WISMER DO
Family Medicine
7 S OHIO AVE STE 2100
ATLANTIC CITY, NJ 08401
Atlantic County (609) 572-8800
DR. MARIA LUISA OQUENDO CLAUDIO MD
Family Medicine
7 S OHIO AVE STE 2100
ATLANTIC CITY, NJ 08401
Atlantic County (609) 572-8800

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 Paula Amin's NPI number?

The NPI number for Paula Amin is 1255835435. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Paula Amin located?

Paula Amin practices at 7 S Ohio Ave Ste 2100, Atlantic City, NJ 08401. The listed phone number is (609) 441-8146.

What is Paula Amin's specialty?

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

Is Paula Amin enrolled in Medicare?

Yes. Paula Amin 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 Paula Amin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Amin reassigns Medicare benefits to 2 organizations: Atlanticare Health Services, Inc. (Atlantic City, NJ) and Atlanticare Physician Group, PA (Galloway, NJ). 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 Paula Amin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Amin accept?

Health plans from Oscar Health list Paula Amin 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 Paula Amin affiliated with any hospitals?

According to CMS data, Paula Amin is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Paula Amin was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.