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SHILPA ASHOK PATEL M.D.
NPI 1649367129
Pediatrics in Rockleigh, NJ

Active since October 06, 2006PECOS Enrolled
22 PARIS AVE, SUITE 109, ROCKLEIGH, NJ 07647(201) 564-7377(201) 564-7379 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shilpa Ashok Patel M.d. NPPES

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

SHILPA ASHOK PATEL M.D. (NPI 1649367129) is an individual pediatrics provider in Rockleigh, New Jersey, licensed in New Jersey (25MA07123200) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649367129
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHILPA ASHOK PATELCredential: M.D.
Location Address22 PARIS AVE, SUITE 109Rockleigh, NJ 07647
Mailing Address22 Paris Ave, Suite 109Rockleigh, NJ 07647-2600 · (201) 564-7377 · Fax (201) 564-7379
Phone(201) 564-7377
Fax(201) 564-7379
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1649367129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA07123200
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 PARIS AVE, Rockleigh, NJ 07647
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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 (PECOS)

Shilpa Ashok Patel 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 Reassignment

Medicare enrollment records show Shilpa Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC
47 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07647 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

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

MPS RX TRI-STATE LLC
Pharmacy (Long Term Care Pharmacy)
22 PARIS AVE
NORTHVALE, NJ 07647
Bergen County (201) 784-1643

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 Shilpa Patel's NPI number?

The NPI number for Shilpa Patel is 1649367129. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Shilpa Patel located?

Shilpa Patel practices at 22 Paris Ave Suite 109, Rockleigh, NJ 07647. The listed phone number is (201) 564-7377.

What is Shilpa Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shilpa Patel enrolled in Medicare?

Yes. Shilpa Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shilpa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Patel reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Shilpa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilpa Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shilpa 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 Shilpa Patel was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.