DR. NYAN ANTONIA BETHEL MD
NPI 1427629732
Internal Medicine - Critical Care Medicine in Newark, NJ

Q: What is Nyan Bethel's NPI number?

The NPI number for Nyan Bethel is 1427629732. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Q: What is Nyan Bethel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Nyan Bethel was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 07, 2021PECOS Enrolled

111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5465 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Jul 7, 2021 (2 updates tracked since 2021).

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About Dr. Nyan Antonia Bethel Md NPPES

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

DR. NYAN ANTONIA BETHEL MD (NPI 1427629732) is an individual critical care medicine provider in Newark, New Jersey, licensed in Alabama (52665) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427629732

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameDR. NYAN ANTONIA BETHELCredential: MD

Location Address111 CENTRAL AVENewark, NJ 07102-1909

Mailing Address95 Beech StEast Orange, NJ 07018-3006 · (908) 230-2678

Phone(973) 877-5465

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 7, 2021

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1427629732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in AL · 52665

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

111 CENTRAL AVE, Newark, NJ 07102

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nyan Antonia Bethel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456828433

PECOS Enrollment IDI20260428000066

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.

Medicare Billing Reassignment

Medicare enrollment records show Nyan Bethel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cogent Healthcare Of Decatur, LLC

902 mi

Critical Care Medicine

809 UNIVERSITY BLVD E
Tuscaloosa, AL 35401

Reassigned Medicare billing, Alabama enrollment
45 clinicians in this Medicare group

NPI 1386695500 (205) 759-7111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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.

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.

RAKAN BASSAM AMMARI MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

PAUL V SCOTT CRNA

Registered Nurse

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5043

DR. HOI-WING SUSANNA YIM M.D.

Internal Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

KING EMERGENCY ASSOCIATES, P.A.

Emergency Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

DR. NITA MODI MD

Specialist

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

GATEWAY EMERGENCY SERVICES PC

Emergency Medicine

111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102

Essex County (469) 401-2386

DR. CHRYSTINA MILDRED KIWAN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

KHALED MOHAMMAD KHALED BANI YASEEN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (551) 250-3743

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 Nyan Bethel's NPI number?

The NPI number for Nyan Bethel is 1427629732. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Nyan Bethel located?

Nyan Bethel practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5465.

What is Nyan Bethel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nyan Bethel enrolled in Medicare?

Yes. Nyan Bethel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nyan Bethel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nyan Bethel reassigns Medicare benefits to Cogent Healthcare Of Decatur, LLC (Tuscaloosa, AL). The 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 Nyan Bethel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nyan Bethel was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.