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DR. KOOROSH NEMATI MD
NPI 1407350101
Pediatrics - Pediatric Infectious Diseases in West Orange, NJ

Active since March 19, 2018PECOS Enrolled
101 OLD SHORT HILLS RD STE 408, WEST ORANGE, NJ 07052(973) 322-6600 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2024, Mar 19, 2018 (2 updates tracked since 2018).

About Dr. Koorosh Nemati Md NPPES

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

DR. KOOROSH NEMATI MD (NPI 1407350101) is an individual pediatric infectious diseases provider in West Orange, New Jersey, licensed in New Jersey (25MA12114400) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1407350101
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. KOOROSH NEMATICredential: MD
Location Address101 OLD SHORT HILLS RD STE 408West Orange, NJ 07052-1023
Mailing Address379 Campus Dr Fl 4Somerset, NJ 08873-1161 · (732) 937-8939
Phone(973) 322-6600
Sole ProprietorNo
Enumeration DateMarch 19, 2018
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1407350101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in NJ · 25MA12114400
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 25MA12114400 (NJ)
101 OLD SHORT HILLS RD STE 408, West Orange, NJ 07052
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Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (786) 486-6677

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Koorosh Nemati Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Koorosh Nemati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Barnabas Health Medical Group PC
8.4 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

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

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 Koorosh Nemati's NPI number?

The NPI number for Koorosh Nemati is 1407350101. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Koorosh Nemati located?

Koorosh Nemati practices at 101 Old Short Hills Rd Ste 408, West Orange, NJ 07052. The listed phone number is (973) 322-6600.

What is Koorosh Nemati's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Koorosh Nemati enrolled in Medicare?

Yes. Koorosh Nemati is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Koorosh Nemati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koorosh Nemati reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). The 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 Koorosh Nemati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Koorosh Nemati accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Koorosh Nemati 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 Koorosh Nemati was last updated on May 15, 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.