DR. NEVEEN A. ELKHOLY D.O.
NPI 1346245560
Family Medicine in Paterson, NJ

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
1042 MAIN ST, PATERSON, NJ 07503(973) 510-2444(973) 278-2818 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2025, May 18, 2022 (2 updates tracked since 2022).

About Dr. Neveen A. Elkholy D.o. NPPES

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

DR. NEVEEN A. ELKHOLY D.O. (NPI 1346245560) is an individual family medicine provider in Paterson, New Jersey, licensed in New Jersey (25MB07428300) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Union City, and is a graduate of Rowan University School Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1346245560
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NEVEEN A. ELKHOLYCredential: D.O.
Location Address1042 MAIN STPaterson, NJ 07503-2212
Mailing Address1042 Main StPaterson, NJ 07503-2212 · (973) 510-2444 · Fax (973) 278-2818
Fax(973) 278-2818
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2001
Enumeration DateJune 15, 2005
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1346245560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB07428300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1042 MAIN ST, Paterson, NJ 07503

Secondary Practice Location 1

Location 13703 Bergenline AveUnion City, NJ 07087-4846 · Phone (201) 255-0213 · Fax (551) 203-9293

Other Identifiers 6

Medicaid84522NJ
Other1972778413NJ · 1148-1150 Springfield Ave
Other1932370483NJ · 101 Ludlow Street
Other1194996645NJ · 444 William Street
Other1235300799NJ · 37 N Day Street
Other1740345693NJ · 741 Broadway

Accepted 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

Dr. Neveen A. Elkholy D.o. 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 ID4789645193
PECOS Enrollment IDI20041020000025
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 Neveen Elkholy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
1000 S ELMORA AVE
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
29 services14 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.
24 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
1042 MAIN ST
PATERSON, NJ 07503
Family Medicine
1042 MAIN ST
PATERSON, NJ 07503
Nurse Practitioner (Family)
1042 MAIN ST
PATERSON, NJ 07503
Pediatrics
1042 MAIN ST
PATERSON, NJ 07503

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 Neveen Elkholy's NPI number?

The NPI number for Neveen Elkholy is 1346245560. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Neveen Elkholy located?

Neveen Elkholy practices at 1042 Main St, Paterson, NJ 07503. The listed phone number is (973) 510-2444.

What is Neveen Elkholy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Neveen Elkholy enrolled in Medicare?

Yes. Neveen Elkholy 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 Neveen Elkholy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neveen Elkholy reassigns Medicare benefits to 2 organizations: Osh-Nj Physicians Group PC (Elizabeth, NJ) and Advocare, LLC (Marlton, 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 Neveen Elkholy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neveen Elkholy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Neveen Elkholy 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 Neveen Elkholy was last updated on May 18, 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.