JOYCE NKWONTA MD NPI 1467408047
Internal Medicine in Plainfield, NJ

Individual Female Years of Experience 33 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment CLIA Number 31D1042741 CLIA Certificate of Waiver

About JOYCE NKWONTA MD

Joyce Nkwonta is an internist established in Plainfield, New Jersey and her medical specialization is Internal Medicine with more than 33 years of experience. The NPI number of Joyce Nkwonta is 1467408047 and was assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number MA07088700 (NJ). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1467408047
Provider Name JOYCE NKWONTA MD
Provider Location Address1314 PARK AVE STE 1 PLAINFIELD, NJ 07060
Provider Mailing Address1314 PARK AVE STE 1 PLAINFIELD, NJ 07060
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1990
Is Sole Proprietor?Yes
Enumeration Date05-25-2006
Last Update Date01-05-2017

An internist like Joyce Nkwonta Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Joyce Nkwonta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Joyce Nkwonta is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Jfk Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.64 for a new patient copayment and $29.21 for an established patient copayment.

The CLIA number of Joyce Nkwonta Md is 31D1042741 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Joyce Nkwonta Md to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.MA07088700
License StateNJ
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

JOYCE NKWONTA MD
1314 PARK AVE
STE 1
PLAINFIELD, NJ
ZIP 07060
Phone: (908) 561-9733
Fax: (908) 561-8944

Get Directions


Mailing Address

JOYCE NKWONTA MD
1314 PARK AVE
STE 1
PLAINFIELD, NJ
ZIP 07060
Phone: (908) 561-9733
Fax: (908) 561-8944


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7810912185
PECOS Enrollment IDI20051006000423
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07060 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.45 $198.48 $150.56
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $37.64
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.27 $162.58 $116.86
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $29.21

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 110Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 106Administration of influenza virus vaccine (HCPCS:G0008)
  • 30Administration of pneumococcal vaccine (HCPCS:G0009)
  • 25Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 16Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joyce Nkwonta is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
JFK MEDICAL CENTER65 JAMES STREET
EDISON, NJ 8818
(732) 321-7000Acute Care Hospitals310108

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1467408047 is:

CLIA Number31D1042741
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G53176MEDICARE UPIN (02)
8499101MEDICAID (05)NJ
042548UMWMEDICARE ID-TYPE UNSPECIFIED (04)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467408047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127801608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 8 + 0 + 1 + 6 + 0 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1467408047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750384178 JOHN W FERRANTE MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 756-6218
1700833092DR. CHARLES ALLEN LEFF M.D.
Individual
Specialist1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 754-0400
1518982388SALEEM HUSAIN MD PC
Organization
Internal Medicine (Cardiovascular Disease)1314 PARK AVE SUITE 9
PLAINFIELD, NJ 07060
(908) 222-8970
1215081385MS. PRINCETTA ANN EDWARDS LCSW LIC CLINICAL SO
Individual
Social Worker (Clinical)1314 PARK AVE STE 7
PLAINFIELD, NJ 07060
(908) 755-3392
1972658896 ELRICK A MURRAY MD
Individual
Obstetrics & Gynecology1314 PARK AVE SUITE 4
PLAINFIELD, NJ 07060
(908) 753-0440
1811022544JOHN W FERRANTE MD PA
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 756-6218
1164542718REGROUP BEHAVIORAL HEALTH SERVICES,PC
Organization
Social Worker (Clinical)1314 PARK AVE SUITE 7
PLAINFIELD, NJ 07060
(908) 755-3392
1003002858 AMY R. GIBSON APN-C
Individual
Nurse Practitioner1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 222-8970
1073746038DR. RUCHIKA VERMA DDS
Individual
Dentist (General Practice)1314 PARK AVE SUITE 5
PLAINFIELD, NJ 07060
(908) 222-2741
1891192878MS. CANDACE DOROTHY WILSON LPC
Individual
Counselor (Professional)1314 PARK AVE
PLAINFIELD, NJ 07060
(973) 755-3392
1134197346 SALEEM HUSAIN MD
Individual
Internal Medicine (Cardiovascular Disease)1314 PARK AVE SUITE 9
PLAINFIELD, NJ 07060
(908) 222-8970
1639230600JOYCE NKWONTA MD. PC.
Organization
Internal Medicine1314 PARK AVE SUITE 1
PLAINFIELD, NJ 07060
(908) 561-9733
1366480717HEMATOLOGY-ONCOLOGY ASSOCIATES, P.A.
Organization
Specialist1314 PARK AVE
PLAINFIELD, NJ 07060
(908) 754-0400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Joyce Nkwonta Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.