DR. ANISH NIHALANI M.D.
NPI 1447448212
Surgery in Edison, NJ

Q: What is Anish Nihalani's NPI number?

The NPI number for Anish Nihalani is 1447448212. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Q: What is Anish Nihalani's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Anish Nihalani was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 05, 2007PECOS EnrolledAccepts Medicare Assignment

98 JAMES ST, SUITE 101, EDISON, NJ 08820(732) 662-5888(866) 226-2263 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Anish Nihalani M.d. NPPES

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

DR. ANISH NIHALANI M.D. (NPI 1447448212) is an individual surgery provider in Edison, New Jersey, licensed in New Jersey (25MA08088000) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2000).

NPPES Registry Identity

NPI1447448212

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ANISH NIHALANICredential: M.D.

Location Address98 JAMES ST, SUITE 101Edison, NJ 08820-3902

Mailing Address98 James St, Suite 101Edison, NJ 08820-3902 · (732) 662-5888 · Fax (866) 226-2263

Phone(732) 662-5888

Fax(866) 226-2263

Sole ProprietorYes

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2000

Enumeration DateOctober 5, 2007

Last NPPES UpdateJanuary 10, 2011

✔ NPI 1447448212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NJ · 25MA08088000

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 25MA08088000 (NJ)

98 JAMES ST, Edison, NJ 08820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Anish Nihalani M.d. 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 ID6800986019

PECOS Enrollment IDI20071212000063

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 Reassignments

Medicare enrollment records show Anish Nihalani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anish Nihalani MD LLC

0.1 mi

Surgery

98 JAMES ST
Edison, NJ 08820

Reassigned Medicare billing, New Jersey enrollment

NPI 1154502383 (732) 662-5888

Premier Bariatric New Jersey PC

27 mi

Specialist

1680 ROUTE 23
Wayne, NJ 07470

Reassigned Medicare billing, New Jersey enrollment
41 clinicians in this Medicare group

NPI 1548735145 (516) 616-5500

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 3

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.

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.

50 services21 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.

34 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310024

Location865 Stone StRahway, NJ 07065 · Union County

Emergency services

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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.

DR. HOWARD S. COHEN M.D.

Internal Medicine (Cardiovascular Disease)

98 JAMES ST, SUITE 313
EDISON, NJ 08820

Middlesex County (732) 635-0916

RUDNITZKY & SHUGAR MDS PA

Internal Medicine

98 JAMES ST, SUITE 104
EDISON, NJ 08820

Middlesex County (732) 494-6300

DR. NICHOLAS A. PARTENOPE M.D.

Preventive Medicine (Public Health & General Preventive Medicine)

98 JAMES ST, SUITE 308, MEDIPLEX BUILDING
EDISON, NJ 08820

Middlesex County (732) 388-9709

CENTRAL JERSEY OPHTHALMOLOGY,PA

Ophthalmology

98 JAMES ST, SUITE 210
EDISON, NJ 08820

Middlesex County (732) 744-1800

MS. DIPALI SHAH PA

Physician Assistant

98 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 243-9694

MOSS SURGICAL, L.L.C.

Surgery

98 JAMES ST, SUITE 202
EDISON, NJ 08820

Middlesex County (732) 548-1000

SURGICAL PRACTICES ASSOCIATES, P.A.

Surgery

98 JAMES ST, SUITE 202
EDISON, NJ 08820

Middlesex County (732) 548-1000

DR. ADAM J DUHL MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

98 JAMES ST, 4TH FL
EDISON, NJ 08820

Middlesex County (732) 321-7907

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 Anish Nihalani's NPI number?

The NPI number for Anish Nihalani is 1447448212. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Anish Nihalani located?

Anish Nihalani practices at 98 James St Suite 101, Edison, NJ 08820. The listed phone number is (732) 662-5888.

What is Anish Nihalani's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Anish Nihalani enrolled in Medicare?

Yes. Anish Nihalani 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 Anish Nihalani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anish Nihalani reassigns Medicare benefits to 2 organizations: Anish Nihalani MD LLC (Edison, NJ) and Premier Bariatric New Jersey PC (Wayne, NJ). 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 Anish Nihalani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anish Nihalani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Anish Nihalani 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 Anish Nihalani affiliated with any hospitals?

According to CMS data, Anish Nihalani is affiliated with Robert Wood Johnson University Hospital At Rahway and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Anish Nihalani was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.