DR. TANIA AFONSO D.O.
NPI 1417210394
Emergency Medicine in Livingston, NJ

Active since June 16, 2012PECOS EnrolledAccepts Medicare Assignment
44.6/100
CMS Quality Rating
75 E NORTHFIELD RD, LIVINGSTON, NJ 07039(973) 436-1500 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1417210394
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. TANIA AFONSOCredential: D.O.
Location Address75 E NORTHFIELD RDLivingston, NJ 07039-4532
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2012
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1417210394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NJ · 25MB09251300 Licensed in NY · 265446-1
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

75 E NORTHFIELD RD, Livingston, NJ 07039

Secondary Practice Location 1

Location 1111 Central AveNewark, NJ 07102-1909 · Phone (908) 670-5614

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

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.

PECOS PAC ID8325298359
PECOS Enrollment IDI20130524000015
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
325 services318 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
98 services97 patients
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.
60 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services56 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 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.
26 services26 patients

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, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician 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.

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.

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.

44.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality25.54
Improvement Activities40
Cost14.62

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.

Pediatrics (Pediatric Endocrinology)
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Audiologist
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Physician Assistant (Medical)
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Dietitian, Registered
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Audiologist
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Internal Medicine
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Internal Medicine
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Obstetrics & Gynecology
75 E NORTHFIELD RD
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.

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 with the weekly NPPES data releases published by CMS.