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NEHA PARALKAR
NPI 1609239110
Internal Medicine in Hackensack, NJ

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
385 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-9150(551) 996-9155 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2023, Apr 5, 2021, Apr 1, 2016 (3 updates tracked since 2016).

About Neha Paralkar NPPES

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

NEHA PARALKAR (NPI 1609239110) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New York (297964) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609239110
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNEHA PARALKAR
Location Address385 PROSPECT AVEHackensack, NJ 07601-2570
Mailing Address300 Community DrManhasset, NY 11030-3816 · (516) 562-0100
Phone(551) 996-9150
Fax(551) 996-9155
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateJune 5, 20233 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1609239110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 297964
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
385 PROSPECT AVE, Hackensack, NJ 07601
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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 and accepts Medicare assignment

Neha Paralkar 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 ID1254676612
PECOS Enrollment IDI20230622000665
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

2

Medicare enrollment records show Neha Paralkar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore-Lij Medical PC
20 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Hackensack Meridian Health Medical Group - Primary Care PC
39 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

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

Areas of Expertise CMS Part B claims 9

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.
103 services64 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 services57 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.
20 services20 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.
16 services16 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.
13 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MS. ED NELVYN LEZETTE EVANS MD
Internal Medicine (Geriatric Medicine)
385 PROSPECT AVE, BERGEN CBOC-DVA
HACKENSACK, NJ 07601
Bergen County (201) 342-4536
DR. SIDNEY RABINOWITZ M.D.
Plastic Surgery
385 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 525-0220
JOHN T. ANDRONACO, MD, PA
Orthopaedic Surgery
385 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 489-3933
DR. GILBERT KEPECS MD
Internal Medicine (Rheumatology)
385 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 498-9060
MRS. SALLY P GILLENSON MBA MS OTR CHT
Occupational Therapist (Hand)
385 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-5470
DR. JALADURGA PRABHAKARARAO AMULURU M.D.
Internal Medicine (Geriatric Medicine)
385 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 487-1390
WILLIAM K. BOSS JR MD PA
Legal Medicine
385 PROSPECT AVE, SUITE 2
HACKENSACK, NJ 07601
Bergen County (201) 488-1035
MRS. AURELIE R FREY OTR CHT
Occupational Therapist (Hand)
385 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-5470

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 Neha Paralkar's NPI number?

The NPI number for Neha Paralkar is 1609239110. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Neha Paralkar located?

Neha Paralkar practices at 385 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-9150.

What is Neha Paralkar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neha Paralkar enrolled in Medicare?

Yes. Neha Paralkar 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.

Which organizations bill Medicare for Neha Paralkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neha Paralkar reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, 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 Neha Paralkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neha Paralkar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Neha Paralkar 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 Neha Paralkar affiliated with any hospitals?

According to CMS data, Neha Paralkar is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Neha Paralkar was last updated on June 5, 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.