NAYANA M PATEL APN-C
NPI 1518448661
Nurse Practitioner - Family in Toms River, NJ

Active since August 27, 2018PECOS EnrolledAccepts Medicare Assignment
530 LAKEHURST RD, TOMS RIVER, NJ 08755(732) 349-8454 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2019, Aug 27, 2018 (2 updates tracked since 2018).

About Nayana M Patel Apn-c NPPES

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

NAYANA M PATEL APN-C (NPI 1518448661) is an individual family provider in Toms River, New Jersey, licensed in New Jersey (26NJ00842900) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1518448661
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNAYANA M PATELCredential: APN-C
Location Address530 LAKEHURST RDToms River, NJ 08755-8063
Mailing Address26 Coolidge DrBrick, NJ 08724-3204 · (732) 429-6172
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 27, 2018
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
NPI 1518448661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ00842900
530 LAKEHURST RD, Toms River, NJ 08755

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

Nayana M Patel Apn-c 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 ID7315281250
PECOS Enrollment IDI20181204003178
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 13

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.
620 services484 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
160 services159 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
154 services131 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
133 services133 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.
96 services96 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.
94 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers22 claims57 services$6.02 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers11 claims11 services$40.23 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier20 claims20 services$64.45 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,563 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist (Optician)
530 LAKEHURST RD, SUITE 206
TOMS RIVER, NJ 08755
Orthopaedic Surgery
530 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine
530 LAKEHURST RD, SUITE 307
TOMS RIVER, NJ 08755
Internal Medicine
530 LAKEHURST RD, SUITE 307
TOMS RIVER, NJ 08755
Orthopaedic Surgery
530 LAKEHURST RD, SUITE 101
TOMS RIVER, NJ 08755
Internal Medicine (Pulmonary Disease)
530 LAKEHURST RD, SUITE 306
TOMS RIVER, NJ 08755
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
530 LAKEHURST RD, SUITE 101
TOMS RIVER, NJ 08755
Physical Therapist
530 LAKEHURST RD, SUITE 202 & 204
TOMS RIVER, NJ 08755

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 Nayana Patel's NPI number?

The NPI number for Nayana Patel is 1518448661. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Nayana Patel located?

Nayana Patel practices at 530 Lakehurst Rd, Toms River, NJ 08755. The listed phone number is (732) 349-8454.

What is Nayana Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nayana Patel enrolled in Medicare?

Yes. Nayana 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.

When was this NPI record last updated?

The NPPES record for Nayana Patel was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.