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JOSHUA MICHAEL KAPLAN M.D.
NPI 1407881287
Internal Medicine - Nephrology in Newark, NJ

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
140 BERGEN ST, ACC LEVEL F, NEWARK, NJ 07103(973) 972-8087(973) 972-6651 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joshua Michael Kaplan M.d. NPPES

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

JOSHUA MICHAEL KAPLAN M.D. (NPI 1407881287) is an individual nephrology provider in Newark, New Jersey, licensed in New Jersey (25MA07750600) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Js Weill Medical College, Cornell University (1995).

NPPES Registry Identity

NPI1407881287
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOSHUA MICHAEL KAPLANCredential: M.D.
Location Address140 BERGEN ST, ACC LEVEL FNewark, NJ 07103-2425
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Phone(973) 972-8087
Fax(973) 972-6651
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1995
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1407881287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA07750600
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
140 BERGEN ST, Newark, NJ 07103
Open in Google Maps ↗

Other Identifiers 1

Medicaid0059722NJ

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

Joshua Michael Kaplan M.d. 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 ID3971599150
PECOS Enrollment IDI20041221000211
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 9

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.

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.
180 services86 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
135 services56 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
84 services39 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.
75 services43 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.
75 services57 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
64 services11 patients

Hospital Affiliations CMS Care Compare

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

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers15 claims41 services$5.96 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 20

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

MIRIAM J IBRAHIM
Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-7200
DR. JONATHAN MAMBER CZERESNIA MD
Internal Medicine (Infectious Disease)
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4071
LISA GITTENS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
140 BERGEN ST, ACC LEVEL C
NEWARK, NJ 07103
Essex County (973) 972-2700
DR. DANIEL MICHAEL MATASSA M.D.
Internal Medicine
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-9000
TEREN YEDIKIAN
Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2151
MS. CORNELIA VANDERVLIET MA,CCC-A
Audiologist
140 BERGEN ST, LEVEL E ROOM 1700
NEWARK, NJ 07103
Essex County (973) 972-9500
LUKA PETROVIC M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2573
DR. RAQUEL REYES DNP, WHNP, CNM
Advanced Practice Midwife
140 BERGEN ST, ACC - LEVEL D- INFECTIOUS DISEASE PRACTICE
NEWARK, NJ 07103
Essex County (973) 972-7194

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 Joshua Kaplan's NPI number?

The NPI number for Joshua Kaplan is 1407881287. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Joshua Kaplan located?

Joshua Kaplan practices at 140 Bergen St Acc Level F, Newark, NJ 07103. The listed phone number is (973) 972-8087.

What is Joshua Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Joshua Kaplan enrolled in Medicare?

Yes. Joshua Kaplan 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 Joshua Kaplan affiliated with any hospitals?

According to CMS data, Joshua Kaplan is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Kaplan was last updated on February 3, 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.