DR. NEIL MORGANSTEIN MD
NPI 1568454080
Internal Medicine - Hematology & Oncology in Summit, NJ

NPI Status: Active since August 19, 2005

Contact Information

99 BEAUVOIR AVE
THE CANCER CENTER AT OVERLOOK
SUMMIT, NJ
ZIP 07901
Phone: (908) 608-0078
Fax: (908) 608-1504

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  • Individual
  • Male
  • Years of Experience 28
  • Internal Medicine
  • Hematology & Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NEIL MORGANSTEIN

This page provides the complete NPI Profile along with additional information for Neil Morganstein, an internist established in Summit, New Jersey with a medical specialization in Internal Medicine, focusing in hematology & oncology and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1568454080 assigned on August 2005. The practitioner's primary taxonomy code is 207RH0003X with license number MA69498 (NJ). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1568454080
Provider Name
DR. NEIL MORGANSTEIN MD
Gender
Male
Entity Type
Individual
Location Address
99 BEAUVOIR AVE THE CANCER CENTER AT OVERLOOK SUMMIT, NJ 07901
Location Phone
(908) 608-0078
Location Fax
(908) 608-1504
Mailing Address
77 BRANT AVE SUITE 200 CLARK, NJ 07066
Mailing Phone
(732) 382-0091
Mailing Fax
(908) 608-1504
Medical School Name
OTHER
Graduation Year
1998
Is Sole Proprietor?
No
Enumeration Date
08-19-2005
Last Update Date
07-12-2007
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An internist like Neil Morganstein 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.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
License No.
MA69498
License State
NJ
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
089567MEDICARE ID-TYPE UNSPECIFIED (04)NJ 
I27170MEDICARE UPIN (02)NJ 

Medicare Participation & PECOS Enrollment Status

Neil Morganstein is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Neil Morganstein 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729025747

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050412000459

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Blood test, comprehensive group of blood chemicals

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

This service was performed 33 times for 14 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 1,451 times for 383 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 27 times for 23 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 231 times for 167 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 838 times for 323 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 620 times for 171 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 97 times for 45 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 36 times for 22 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 48 times for 42 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 574 times for 282 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 27 times for 27 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 79 times for 79 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $47.73 for a new patient copayment and $27.89 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 07901 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $190.92
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $47.73
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.57
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $27.89
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Neil Morganstein is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MORRISTOWN MEDICAL CENTER100 MADISON AVE
MORRISTOWN, NJ 07960
(973) 971-5000Acute Care Hospitals
OVERLOOK MEDICAL CENTER99 BEAUVOIR AVENUE
SUMMIT, NJ 07901
(908) 522-2000Acute Care Hospitals

Reviews for DR. NEIL MORGANSTEIN MD

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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.
1568454080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128858016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 5 + 8 + 0 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568454080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. DENNIS LOWENTHAL MD

Internal Medicine

(Medical Oncology)

99 BEAUVOIR AVE
THE CANCER CENTER AT OVERLOOK
SUMMIT, NJ
ZIP 07901

(908) 608-0078

DR. DANIEL MORIARTY MD

Internal Medicine

(Medical Oncology)

99 BEAUVOIR AVE
THE CANCER CENTER AT OVERLOOK
SUMMIT, NJ
ZIP 07901

(908) 608-0078

RAJYASHREE ANJUTGI M.D.

Anesthesiology

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

ROGELIO CHENG CRNA

Nurse Anesthetist, Certified Registered

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

KERRY BERGMAN MD

Surgery

(Pediatric Surgery)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-7185

GARY DRAKE LCSW

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-5595

NABIL JACIR MD

Surgery

(Pediatric Surgery)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 522-3523

JOHN LYNCH LCSW

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-2857

ERIC LAZAR MD

Surgery

(Pediatric Surgery)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-5595

CHARLES ROLAND LCSW

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-3586

JOHN WEAGLEY LCSW,LCADC

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-5595

ROZANA RAB ALAM MD

Psychiatry & Neurology

(Psychiatry)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-4800

PRAMOD GOODLUCK MD

Internal Medicine

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-7185

ENRICO MIGUELINO MD

Anesthesiology

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

YUAN HU MD

Anesthesiology

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

FATIMAH TAHIL MD

Psychiatry & Neurology

(Psychiatry)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-5691

DR. ALLAN LEE GARDNER MD

Neurological Surgery

99 BEAUVOIR AVE
SUITE 405
SUMMIT, NJ
ZIP 07901

(973) 723-8436

VINEESH BHATNAGAR MD

Internal Medicine

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 964-8010

JAMES D. BILENKER MD

Emergency Medicine

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-2232

DOROTHY DALENA MD

Emergency Medicine

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-2232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568454080, enumerated as an "individual" on August 19, 2005.

The provider is located at 99 BEAUVOIR AVE THE CANCER CENTER AT OVERLOOK SUMMIT, NJ 07901 and the phone number is (908) 608-0078.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.

Neil Morganstein is affiliated with: MORRISTOWN MEDICAL CENTER and OVERLOOK MEDICAL CENTER.