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NICHOLAS C MAGLARAS MD
NPI 1336245109
Internal Medicine in Roselle Park, NJ

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
22.86/100
CMS Quality Rating
236 E WESTFIELD AVE, ROSELLE PARK, NJ 07204(908) 245-8222(908) 245-6504 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Aug 13, 2018 (2 updates tracked since 2018).

About Nicholas C Maglaras Md NPPES

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

NICHOLAS C MAGLARAS MD (NPI 1336245109) is an individual internal medicine provider in Roselle Park, New Jersey, licensed in New Jersey (25MA05793700) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1336245109
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS C MAGLARASCredential: MD
Location Address236 E WESTFIELD AVERoselle Park, NJ 07204
Mailing Address236 E Westfield AveRoselle Park, NJ 07204-2084 · (908) 245-8222 · Fax (908) 245-6504
Phone(908) 245-8222
Fax(908) 245-6504
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1336245109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA05793700
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MA57937 (NJ)
236 E WESTFIELD AVE, Roselle Park, NJ 07204
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Other Identifiers 1

Medicaid6125107NJ

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

Nicholas C Maglaras 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 ID2466355292
PECOS Enrollment IDI20040129000759
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
661 services300 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.
312 services42 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
86 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
51 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
41 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07204 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.

22.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost46.31

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 38 patients
100%39 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%420 patients5/55-star benchmark: 100%
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 16

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
5 suppliers15 claims28 services$6.66 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers37 claims37 services$30.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers33 claims33 services$59.49 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers24 claims67 services$25.29 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims66 services$13.52 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers14 claims84 services$11.89 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 13

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

MICHAEL L BRESCIA MD
Internal Medicine (Pulmonary Disease)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Union County (908) 245-8222
CHERRY C LACSINA PT
Clinic/Center (Physical Therapy)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Union County (732) 376-1800
MARISOL ARBOLEDA DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Union County (908) 400-3922
STRENGTH PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Union County (908) 279-9280
DR. SHAUNEILLE PARKER
Dentist
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Union County (908) 245-7500
KATHRYN FREY
Dentist
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Union County (908) 279-0621
PEDRO EVELIO CORDERO M.D.
Surgery
236 E WESTFIELD AVE, SUITE 4
ROSELLE PARK, NJ 07204
Union County (908) 241-2401
DR. KARN K DEV DMD
Dentist
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Union County (908) 245-7500

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 Nicholas Maglaras's NPI number?

The NPI number for Nicholas Maglaras is 1336245109. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Nicholas Maglaras located?

Nicholas Maglaras practices at 236 E Westfield Ave, Roselle Park, NJ 07204. The listed phone number is (908) 245-8222.

What is Nicholas Maglaras's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Maglaras enrolled in Medicare?

Yes. Nicholas Maglaras 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.

Is Nicholas Maglaras affiliated with any hospitals?

According to CMS data, Nicholas Maglaras is affiliated with Robert Wood Johnson University Hospital At Rahway, Trinitas Regional Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Maglaras was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.