DHARTI VAGHELA NP-C
NPI 1598129272
Nurse Practitioner - Family in Warren, NJ

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
23 MOUNTAIN BLVD, WARREN, NJ 07059(844) 362-1735(973) 290-7495 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2020, Oct 8, 2018 (2 updates tracked since 2018).

About Dharti Vaghela Np-c NPPES

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

DHARTI VAGHELA NP-C (NPI 1598129272) is an individual family provider in Warren, New Jersey, licensed in New Jersey (26NJ00912900) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1598129272
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDHARTI VAGHELACredential: NP-C
Location Address23 MOUNTAIN BLVDWarren, NJ 07059-5837
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495
Fax(973) 290-7495
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2016
Last NPPES UpdateMarch 24, 20222 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
NPI 1598129272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NJ · 26NJ00912900 Licensed in NY · F343655
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 26NR19975100 (NJ)
Also ListedGeneral PracticeTaxonomy 208D00000X · License P99746 (NY)
23 MOUNTAIN BLVD, Warren, NJ 07059

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

Dharti Vaghela Np-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 ID8123362886
PECOS Enrollment IDI20191022002001
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 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.

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.
155 services135 patients
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.
81 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07059 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.

Other Providers at the Same Location NPPES 7

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

Physical Therapist
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Physical Therapist
23 MOUNTAIN BLVD, SUITE 1
WARREN, NJ 07059

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 Dharti Vaghela's NPI number?

The NPI number for Dharti Vaghela is 1598129272. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Dharti Vaghela located?

Dharti Vaghela practices at 23 Mountain Blvd, Warren, NJ 07059. The listed phone number is (844) 362-1735.

What is Dharti Vaghela's specialty?

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

Is Dharti Vaghela enrolled in Medicare?

Yes. Dharti Vaghela 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 Dharti Vaghela accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Dharti Vaghela 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 Dharti Vaghela affiliated with any hospitals?

According to CMS data, Dharti Vaghela is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Dharti Vaghela was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.