AMIT SETYA DO
NPI 1417969270
Emergency Medicine in Lakewood, NJ

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
600 RIVER AVE, LAKEWOOD, NJ 08701(732) 363-1900 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1417969270
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameAMIT SETYACredential: DO
Location Address600 RIVER AVELakewood, NJ 08701-5237
Mailing AddressPo Box 717Livingston, NJ 07039-0717 · (973) 740-0607
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 12, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1417969270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · 25MB07678600
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.

600 RIVER AVE, Lakewood, NJ 08701

Other Identifiers 1

OtherD08452900NJ · Cds Number

Accepted Insurance

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

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.

PECOS PAC ID7618978552
PECOS Enrollment IDI20070120000083
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 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.

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.
465 services456 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.
198 services187 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
178 services174 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
51 services46 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.
31 services31 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
13 services13 patients

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, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician 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.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine (Cardiovascular Disease)
600 RIVER AVE
LAKEWOOD, NJ 08701
Pediatrics
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Nurse Practitioner
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
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.

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, Jersey Shore University Medical Center, Monmouth Medical Center-Southern Campus 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 with the weekly NPPES data releases published by CMS.