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DR. AMIT KUMAR SETH M.D.
NPI 1316196165
Internal Medicine - Endocrinology, Diabetes & Metabolism in Belleville, NJ

Active since September 17, 2008PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
36 NEWARK AVE, SUITE 326, BELLEVILLE, NJ 07109(973) 759-6896 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amit Kumar Seth M.d. NPPES

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

DR. AMIT KUMAR SETH M.D. (NPI 1316196165) is an individual endocrinology, diabetes & metabolism provider in Belleville, New Jersey, licensed in New Jersey (25MA08699400) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316196165
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. AMIT KUMAR SETHCredential: M.D.
Location Address36 NEWARK AVE, SUITE 326Belleville, NJ 07109-4119
Mailing Address36 Newark Ave, Suite 326Belleville, NJ 07109-4119 · (973) 759-6896
Phone(973) 759-6896
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 17, 2008
Last NPPES UpdateFebruary 21, 2014
✔ NPI 1316196165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA08699400
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
36 NEWARK AVE, Belleville, NJ 07109
Open in Google Maps ↗

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

Dr. Amit Kumar Seth M.d. 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 ID5698952190
PECOS Enrollment IDI20110609000728
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 11

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.
2,606 services353 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
600 services356 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
345 services281 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
211 services109 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
183 services113 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
132 services67 patients

Hospital Affiliations CMS Care Compare 4

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%1,154 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%337 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
41%337 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%337 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers20 claims250 services$17.55 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers22 claims617 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$175.80 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
54 suppliers170 claims587 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
33 suppliers84 claims160 services$1.05 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers246 claims259 services$188.98 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 20

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

SUSANA PEREIRA APN
Nurse Practitioner (Primary Care)
36 NEWARK AVE
BELLEVILLE, NJ 07109
Essex County (973) 759-6896
DR. DAVID J GREIFINGER M.D.
Orthopaedic Surgery
36 NEWARK AVE, STE 220
BELLEVILLE, NJ 07109
Essex County (973) 759-8284
ESSEX ORTHOPAEDIC GROUP, P.C.
Orthopaedic Surgery
36 NEWARK AVE, SUITE 220
BELLEVILLE, NJ 07109
Essex County (973) 759-8284
NORTH JERSEY EAR NOSE & THROAT
Otolaryngology
36 NEWARK AVE, STE 318
BELLEVILLE, NJ 07109
Essex County (973) 751-2251
CLINICAL & INVASIVE CARDIOLOGY
Legal Medicine
36 NEWARK AVE, SUITE 300
BELLEVILLE, NJ 07109
Essex County (973) 751-7322
MR. ADEL BASILY SORIAL MD
Otolaryngology
36 NEWARK AVE, STE 318
BELLEVILLE, NJ 07109
Essex County (973) 751-2251
YELENA YERETSKY DO
Dermatology
36 NEWARK AVE, STE 120 LIGRESTI DERMATOLOGY ASSOCIATES PA
BELLEVILLE, NJ 07109
Essex County (973) 759-6569
MS. VIRGINIA IRENE LAY M.D.
Obstetrics & Gynecology
36 NEWARK AVE, SUITE 128
BELLEVILLE, NJ 07109
Essex County (973) 751-5454

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 Amit Seth's NPI number?

The NPI number for Amit Seth is 1316196165. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Where is Amit Seth located?

Amit Seth practices at 36 Newark Ave Suite 326, Belleville, NJ 07109. The listed phone number is (973) 759-6896.

What is Amit Seth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Amit Seth enrolled in Medicare?

Yes. Amit Seth 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 Amit Seth accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Amit Seth 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 Amit Seth affiliated with any hospitals?

According to CMS data, Amit Seth is affiliated with Newark Beth Israel Medical Center, Clara Maass Medical Center, Englewood Hospital And Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Amit Seth was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.