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DR. MADHOOLIKA VERMA M.D.
NPI 1568656270
Emergency Medicine in Edison, NJ

Active since September 06, 2007PECOS Enrolled
52 STATE ROUTE 27 STE 1A, EDISON, NJ 08820(732) 366-3234(732) 487-3373 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2023, May 1, 2023, Jul 7, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Madhoolika Verma M.d. NPPES

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

DR. MADHOOLIKA VERMA M.D. (NPI 1568656270) is an individual emergency medicine provider in Edison, New Jersey, licensed in New Jersey (25MA08807200) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568656270
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MADHOOLIKA VERMACredential: M.D.
Location Address52 STATE ROUTE 27 STE 1AEdison, NJ 08820-3982
Mailing Address15 Cedar StEdison, NJ 08820-3555 · (732) 366-3234 · Fax (732) 487-3373
Phone(732) 366-3234
Fax(732) 487-3373
Sole ProprietorYes
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJune 9, 20234 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1568656270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA08807200✔ Licensed in NJ · FV2419554
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatricsTaxonomy 208000000X · License 25MA08807200 (NJ)
52 STATE ROUTE 27 STE 1A, Edison, NJ 08820
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Other Identifiers 1

Medicaid0305821NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madhoolika Verma M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Madhoolika Verma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Middlesex Emergency Physicians, P.A.
0.8 mi
Emergency Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 156 clinicians in this Medicare group
NPI 1811921760 (732) 321-7000
Plainfield Emergency Physicians, PA
4.8 mi
Emergency Medicine
1200 PARK AVE
Plainfield, NJ 07060
  • Reassigned Medicare billing, New Jersey enrollment
  • 103 clinicians in this Medicare group
NPI 1659309680 (856) 686-4316
Barron Emergency Physicians LLC
58 mi
Emergency Medicine
1140 ROUTE 72 W
Manahawkin, NJ 08050
  • Reassigned Medicare billing, New Jersey enrollment
  • 239 clinicians in this Medicare group
NPI 1790736940 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Madhoolika Verma's NPI number?

The NPI number for Madhoolika Verma is 1568656270. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Madhoolika Verma located?

Madhoolika Verma practices at 52 State Route 27 Ste 1A, Edison, NJ 08820. The listed phone number is (732) 366-3234.

What is Madhoolika Verma's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Madhoolika Verma enrolled in Medicare?

Yes. Madhoolika Verma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Madhoolika Verma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhoolika Verma reassigns Medicare benefits to 3 organizations: Middlesex Emergency Physicians, P.A. (Edison, NJ), Plainfield Emergency Physicians, PA (Plainfield, NJ) and Barron Emergency Physicians LLC (Manahawkin, 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 Madhoolika Verma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhoolika Verma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Madhoolika Verma 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 Madhoolika Verma was last updated on June 9, 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.