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CARL NATH MD
NPI 1326113564
Obstetrics & Gynecology - Maternal & Fetal Medicine in Long Branch, NJ

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
73 S BATH AVE, LONG BRANCH, NJ 07740(732) 870-3600(732) 870-0119 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carl Nath Md NPPES

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

CARL NATH MD (NPI 1326113564) is an individual maternal & fetal medicine provider in Long Branch, New Jersey, licensed in New Jersey (25MA06700000) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1994).

NPPES Registry Identity

NPI1326113564
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameCARL NATHCredential: MD
Location Address73 S BATH AVELong Branch, NJ 07740-5725
Mailing AddressPo Box 786281Philadelphia, PA 19178-0001 · (732) 870-3600 · Fax (732) 870-0119
Phone(732) 870-3600
Fax(732) 870-0119
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1994
Enumeration DateNovember 22, 2006
Last NPPES UpdateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1326113564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NJ · 25MA06700000
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 25MA06700000 (NJ)
73 S BATH AVE, Long Branch, NJ 07740
Open in Google Maps ↗

Other Identifiers 1

Medicaid8382409NJ

Accepted Insurance

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

Carl Nath 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 ID7012008220
PECOS Enrollment IDI20070802000083
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 Carl Nath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
28 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Barnabas Health Medical Group, PC
37 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123

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 07740 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

NISHA MALIK M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600
DAVID M WALLACE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600
DAVID GONZALEZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600

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 Carl Nath's NPI number?

The NPI number for Carl Nath is 1326113564. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Carl Nath located?

Carl Nath practices at 73 S Bath Ave, Long Branch, NJ 07740. The listed phone number is (732) 870-3600.

What is Carl Nath's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Carl Nath enrolled in Medicare?

Yes. Carl Nath 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 Carl Nath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Nath reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Barnabas Health Medical Group, PC (West Orange, 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 Carl Nath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Nath accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carl Nath 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 Carl Nath was last updated on April 8, 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.