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MR. DANIEL FALDRAGA MMS, PA-C
NPI 1275318743
Physician Assistant in Neptune, NJ

Active since August 31, 2023PECOS EnrolledAccepts Medicare Assignment
3600 ROUTE 66 STE 400, NEPTUNE, NJ 07753(732) 363-6655 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Aug 31, 2023 (2 updates tracked since 2023).

About Mr. Daniel Faldraga Mms, Pa-c NPPES

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

MR. DANIEL FALDRAGA MMS, PA-C (NPI 1275318743) is an individual physician assistant in Neptune, New Jersey, licensed in New Jersey (25MP00812800) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275318743
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DANIEL FALDRAGACredential: MMS, PA-C
Location Address3600 ROUTE 66 STE 400Neptune, NJ 07753-2645
Mailing Address707 N Broad St Apt 3gElizabeth, NJ 07208-2317 · (908) 414-8208
Phone(732) 363-6655
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 31, 2023
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1275318743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00812800
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3600 ROUTE 66 STE 400, Neptune, NJ 07753
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Daniel Faldraga Mms, Pa-c 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 ID7113376575
PECOS Enrollment IDI20231211001000
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.

Areas of Expertise CMS Part B claims

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
31 services22 patients

Hospital Affiliations CMS Care Compare

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

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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.

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 Daniel Faldraga's NPI number?

The NPI number for Daniel Faldraga is 1275318743. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Daniel Faldraga located?

Daniel Faldraga practices at 3600 Route 66 Ste 400, Neptune, NJ 07753. The listed phone number is (732) 363-6655.

What is Daniel Faldraga's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Faldraga enrolled in Medicare?

Yes. Daniel Faldraga 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.

What insurance does Daniel Faldraga accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Daniel Faldraga 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 Daniel Faldraga affiliated with any hospitals?

According to CMS data, Daniel Faldraga is affiliated with Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Daniel Faldraga was last updated on October 18, 2023. 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.