AMIT SETYA DO
NPI 1417969270
Emergency Medicine in Lakewood, NJ
About Amit Setya Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMIT SETYA DO (NPI 1417969270) is an individual emergency medicine provider in Lakewood, New Jersey, licensed in New Jersey (25MB07678600) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Newton Medical Center, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Amit Setya Do 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
11Medicare enrollment records show Amit Setya reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manahawkin, NJ 08050
- Reassigned Medicare billing, New Jersey enrollment
- 239 clinicians in this Medicare group
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 42 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 23 clinicians in this Medicare group
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 757 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Hackettstown, NJ 07840
- Reassigned Medicare billing, New Jersey enrollment
- 49 clinicians in this Medicare group
Newton, NJ 07860
- Reassigned Medicare billing, New Jersey enrollment
- 59 clinicians in this Medicare group
Ellenville, NY 12428
- Reassigned Medicare billing, New York enrollment
- 11 clinicians in this Medicare group
Fredericksburg, VA 22408
- Reassigned Medicare billing, Virginia enrollment
- 91 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 6
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newton Medical Center
Acute Care Hospitals · Newton, NJCommunity Medical Center
Acute Care Hospitals · Toms River, NJSaint Peter's University Hospital
Acute Care Hospitals · New Brunswick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJHackettstown Medical Center
Acute Care Hospitals · Hackettstown, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08701 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.
LAKEWOOD, NJ 08701
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 Amit Setya's NPI number?
The NPI number for Amit Setya is 1417969270. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Amit Setya located?
Amit Setya practices at 600 River Ave, Lakewood, NJ 08701. The listed phone number is (732) 363-1900.
What is Amit Setya's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Amit Setya enrolled in Medicare?
Yes. Amit Setya 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 Amit Setya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amit Setya reassigns Medicare benefits to 11 organizations: Barron Emergency Physicians LLC (Manahawkin, NJ), Rwjbh Associates 2, LLC (New Brunswick, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Haddon Emergency Physicians LLC (Camden, NJ), Barnabas Health Medical Group, PC (West Orange, NJ) and 6 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 Amit Setya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amit Setya accept?
Health plans from Oscar Insurance Company list Amit Setya 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 Amit Setya affiliated with any hospitals?
According to CMS data, Amit Setya is affiliated with Newton Medical Center, Community Medical Center, Saint Peter's University Hospital, Jersey Shore University Medical Center and Hackettstown Medical Center.
When was this NPI record last updated?
The NPPES record for Amit Setya was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Amit Setya, DO · NPI 1417969270
Emergency Medicine physician in Lakewood, New Jersey. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1417969270 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MB07678600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 RIVER AVE, Lakewood, NJ 08701-5237
- **Phone:** (732) 363-1900
## 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:** 11 organizations under Medicare reassignment (form CMS-855R): Barron Emergency Physicians LLC (NPI 1790736940, Manahawkin, NJ); Rwjbh Associates 2, LLC (NPI 1114554532, New Brunswick, NJ); Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ); Haddon Emergency Physicians LLC (NPI 1558312785, Camden, NJ); Barnabas Health Medical Group, PC (NPI 1447206420, West Orange, NJ); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other D08452900 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1417969270) · Data from the CMS NPPES public registry.