DR. LONIKA PATEL OD
NPI 1538711304
Optometrist in Manalapan, NJ
About Dr. Lonika Patel Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LONIKA PATEL OD (NPI 1538711304) is an individual optometrist in Manalapan, New Jersey, licensed in New Jersey (27OA00689600) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Lonika Patel Od 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENGLISHTOWN, NJ 07726
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 Lonika Patel's NPI number?
The NPI number for Lonika Patel is 1538711304. It was assigned to this individual provider in the NPPES registry on July 11, 2019.
Where is Lonika Patel located?
Lonika Patel practices at 74 Route 9, Manalapan, NJ 07726. The listed phone number is (732) 972-1015.
What is Lonika Patel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lonika Patel enrolled in Medicare?
Yes. Lonika 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.
What insurance does Lonika Patel accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Lonika 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.
When was this NPI record last updated?
The NPPES record for Lonika Patel was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Lonika Patel, OD · NPI 1538711304
Optometrist provider in Manalapan, New Jersey. Individual provider, active in the CMS NPPES registry since July 11, 2019.
## Identity
- **NPI:** 1538711304 (Entity type: Individual)
- **Enumerated:** July 11, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00689600 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 74 ROUTE 9, Manalapan, NJ 07726-9209
- **Phone:** (732) 972-1015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Pennsylvania College Of Optometry, class of 2019
## Record status
- **NPPES last updated:** February 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1538711304) · Data from the CMS NPPES public registry.