1. Home
  2. Directory
  3. New Jersey
  4. Newton
  5. Psychiatry Neurology
  6. NPI Profile

M ADEEL ABBASI MD
NPI 1316591258
Psychiatry & Neurology - Psychiatry in Newton, NJ

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
175 HIGH ST, NEWTON, NJ 07860(973) 383-1533(973) 383-4895 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Feb 26, 2025, Aug 18, 2023 and 2 more (5 updates tracked since 2019).

About M Adeel Abbasi Md NPPES

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

M ADEEL ABBASI MD (NPI 1316591258) is an individual psychiatry provider in Newton, New Jersey, licensed in New Jersey (25MA11537100) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Newton Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316591258
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameM ADEEL ABBASICredential: MD
Location Address175 HIGH STNewton, NJ 07860-1004
Mailing Address175 High StNewton, NJ 07860-1004
Phone(973) 383-1533
Fax(973) 383-4895
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2019
Last NPPES UpdateJune 11, 20255 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1316591258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NJ · 25MA11537100✔ Licensed in PA · MD480011
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
175 HIGH ST, Newton, NJ 07860
Open in Google Maps ↗

Accepted Insurance

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

M Adeel Abbasi 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 ID1153795182
PECOS Enrollment IDI20230315000053, I20231027000949
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 5

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.

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.
211 services114 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
54 services42 patients
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.
49 services20 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
30 services26 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

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.

ARADHANA AGGARWAL
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
CHRISTINE KALAFUT PA-C
Physician Assistant (Medical)
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-0453
DR. HRISTO VASSILEV STOYTCHEV MD
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
MARISA PARISE PETRUCELLI D.O.
Anesthesiology
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
VANDANKUMAR PATEL MD
Internal Medicine (Pulmonary Disease)
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
JEAN KAMALA MALLIPUDI MD
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8321
NEWTON MEDICAL CENTER
Psychiatric Unit
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8723
DR. DEVINA JAYESH ADALJA MD
Hospitalist
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8321

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 M Adeel Abbasi's NPI number?

The NPI number for M Adeel Abbasi is 1316591258. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is M Adeel Abbasi located?

M Adeel Abbasi practices at 175 High St, Newton, NJ 07860. The listed phone number is (973) 383-1533.

What is M Adeel Abbasi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is M Adeel Abbasi enrolled in Medicare?

Yes. M Adeel Abbasi 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 M Adeel Abbasi accept?

Health plans from Providence Health Plan list M Adeel Abbasi 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 M Adeel Abbasi affiliated with any hospitals?

According to CMS data, M Adeel Abbasi is affiliated with Newton Medical Center, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for M Adeel Abbasi was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.