DR. PRIYA D PATEL
NPI 1497384747
Podiatrist - Foot & Ankle Surgery in West Orange, NJ
About Dr. Priya D Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYA D PATEL (NPI 1497384747) is an individual foot & ankle surgery provider in West Orange, New Jersey, licensed in New Jersey (25MD00374400) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Vineland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Dr. Priya D Patel 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
2Medicare enrollment records show Priya Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 7 clinicians in this Medicare group
Matawan, NJ 07747
- Reassigned Medicare billing, New Jersey enrollment
- 67 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Raritan Bay Medical Center
Acute Care Hospitals · Perth Amboy, NJOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
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 Priya Patel's NPI number?
The NPI number for Priya Patel is 1497384747. It was assigned to this individual provider in the NPPES registry on April 7, 2020.
Where is Priya Patel located?
Priya Patel practices at 1500 Pleasant Valley Way Ste 204, West Orange, NJ 07052. The listed phone number is (973) 731-1266.
What is Priya Patel's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Priya Patel enrolled in Medicare?
Yes. Priya Patel 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 Priya Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priya Patel reassigns Medicare benefits to 2 organizations: Michael Vincent Verdi DPM (West Orange, NJ) and Old Bridge Spine & Wellness Center,pa (Matawan, 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 Priya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priya Patel accept?
Health plans from Oscar Health list Priya Patel 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 Priya Patel affiliated with any hospitals?
According to CMS data, Priya Patel is affiliated with Raritan Bay Medical Center.
When was this NPI record last updated?
The NPPES record for Priya Patel was last updated on July 25, 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.
# Dr. Priya D Patel · NPI 1497384747
Foot & Ankle Surgery provider in West Orange, New Jersey. Individual provider, active in the CMS NPPES registry since April 7, 2020.
## Identity
- **NPI:** 1497384747 (Entity type: Individual)
- **Enumerated:** April 7, 2020
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 25MD00374400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 PLEASANT VALLEY WAY STE 204, West Orange, NJ 07052-2955
- **Phone:** (973) 731-1266
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Michael Vincent Verdi DPM (NPI 1699893297, West Orange, NJ); Old Bridge Spine & Wellness Center,pa (NPI 1487885141, Matawan, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Podiatric Medicine, class of 2020
## Record status
- **NPPES last updated:** July 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1497384747) · Data from the CMS NPPES public registry.