DR. TANIA AFONSO D.O.
NPI 1417210394
Emergency Medicine in Livingston, NJ
About Dr. Tania Afonso D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TANIA AFONSO D.O. (NPI 1417210394) is an individual emergency medicine provider in Livingston, New Jersey, licensed in New Jersey (25MB09251300) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and maintains a secondary practice location in Newark.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Tania Afonso 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.
Medicare Billing Reassignments
7Medicare enrollment records show Tania Afonso reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Summit, NJ 07901
- Reassigned Medicare billing, New Jersey enrollment
- 436 clinicians in this Medicare group
Union, NJ 07083
- Reassigned Medicare billing, New Jersey enrollment
- 47 clinicians in this Medicare group
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- 67 clinicians in this Medicare group
Berkeley Heights, NJ 07922
- Reassigned Medicare billing, New Jersey enrollment
- 1,184 clinicians in this Medicare group
Bayonne, NJ 07002
- Reassigned Medicare billing, New Jersey enrollment
- 637 clinicians in this Medicare group
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 113 clinicians in this Medicare group
Bedminster, NJ 07921
- Reassigned Medicare billing, New Jersey enrollment
- 9 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 10
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Overlook Medical Center
Acute Care Hospitals · Summit, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07039 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.
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.
LIVINGSTON, NJ 07039
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 Tania Afonso's NPI number?
The NPI number for Tania Afonso is 1417210394. It was assigned to this individual provider in the NPPES registry on June 16, 2012.
Where is Tania Afonso located?
Tania Afonso practices at 75 E Northfield Rd, Livingston, NJ 07039. The listed phone number is (973) 436-1500.
What is Tania Afonso's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tania Afonso enrolled in Medicare?
Yes. Tania Afonso 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 Tania Afonso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tania Afonso reassigns Medicare benefits to 7 organizations: Emergency Physician Associates Of North Jersey P C (Summit, NJ), Union Emergency Medical Associates LLC (Union, NJ), Nes Georgia Inc (Newark, NJ), Summit Medical Group PA (Berkeley Heights, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ) and 2 more organizations, 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 Tania Afonso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tania Afonso accept?
Health plans from Oscar Health list Tania Afonso 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 Tania Afonso affiliated with any hospitals?
According to CMS data, Tania Afonso is affiliated with Overlook Medical Center.
When was this NPI record last updated?
The NPPES record for Tania Afonso was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dr. Tania Afonso, D.O. · NPI 1417210394
Emergency Medicine physician in Livingston, New Jersey. Individual provider, active in the CMS NPPES registry since June 16, 2012.
## Identity
- **NPI:** 1417210394 (Entity type: Individual)
- **Enumerated:** June 16, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MB09251300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 E NORTHFIELD RD, Livingston, NJ 07039-4532
- **Phone:** (973) 436-1500
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Emergency Physician Associates Of North Jersey P C (NPI 1497783419, Summit, NJ); Union Emergency Medical Associates LLC (NPI 1689847352, Union, NJ); Nes Georgia Inc (NPI 1912411331, Newark, NJ); Summit Medical Group PA (NPI 1942254347, Berkeley Heights, NJ); Garden State Healthcare Associates, LLC (NPI 1700014545, Bayonne, NJ); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417210394) · Data from the CMS NPPES public registry.