QURATULAIN NAFEES MBBS
NPI 1356617542
Internal Medicine in Montclair, NJ
About Quratulain Nafees Mbbs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QURATULAIN NAFEES MBBS (NPI 1356617542) is an individual internal medicine provider in Montclair, New Jersey, licensed in New Jersey (25MA09760600) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Quratulain Nafees Mbbs 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.
Medicare Billing Reassignments
6Medicare enrollment records show Quratulain Nafees reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montclair, NJ 07042
- Reassigned Medicare billing, New Jersey enrollment
- 252 clinicians in this Medicare group
Cedar Grove, NJ 07009
- Reassigned Medicare billing, New Jersey enrollment
- 48 clinicians in this Medicare group
Newark, NJ 07112
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 110 clinicians in this Medicare group
Westwood, NJ 07675
- Reassigned Medicare billing, New Jersey enrollment
- 17 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 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 4
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.
Hospital Affiliations CMS Care Compare 2
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, NJHackensack Meridian Health, Mountainside Medical
Acute Care Hospitals · Montclair, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
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 Quratulain Nafees's NPI number?
The NPI number for Quratulain Nafees is 1356617542. It was assigned to this individual provider in the NPPES registry on April 1, 2012.
Where is Quratulain Nafees located?
Quratulain Nafees practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6196.
What is Quratulain Nafees's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Quratulain Nafees enrolled in Medicare?
Yes. Quratulain Nafees 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 Quratulain Nafees's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Quratulain Nafees reassigns Medicare benefits to 6 organizations: Plover Inpatient Services LLC (Montclair, NJ), Subacute Medical Associates (Cedar Grove, NJ), Newark Beth Israel Medical Center Inc (Newark, NJ), Cogent Healthcare Of New Jersey, PC (Hackensack, NJ), Old Hook Hospitalists LLC (Westwood, NJ) and 1 more organization, listed in the Medicare section above. 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 Quratulain Nafees's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Quratulain Nafees accept?
Health plans from Oscar Health list Quratulain Nafees 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 Quratulain Nafees affiliated with any hospitals?
According to CMS data, Quratulain Nafees is affiliated with Newark Beth Israel Medical Center and Hackensack Meridian Health, Mountainside Medical.
When was this NPI record last updated?
The NPPES record for Quratulain Nafees was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Quratulain Nafees, MBBS · NPI 1356617542
Internal Medicine physician in Montclair, New Jersey. Individual provider, active in the CMS NPPES registry since April 1, 2012.
## Identity
- **NPI:** 1356617542 (Entity type: Individual)
- **Enumerated:** April 1, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA09760600 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 BAY AVE, Montclair, NJ 07042-4837
- **Phone:** (973) 429-6196
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Plover Inpatient Services LLC (NPI 1134534688, Montclair, NJ); Subacute Medical Associates (NPI 1245607076, Cedar Grove, NJ); Newark Beth Israel Medical Center Inc (NPI 1033210323, Newark, NJ); Cogent Healthcare Of New Jersey, PC (NPI 1629304290, Hackensack, NJ); Old Hook Hospitalists LLC (NPI 1093151334, Westwood, NJ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1356617542) · Data from the CMS NPPES public registry.