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HEATHER PATEL PA-C
NPI 1659974152
Physician Assistant in Edison, NJ

Active since November 17, 2020PECOS EnrolledAccepts Medicare Assignment
77.53/100
CMS Quality Rating
34-36 PROGRESS ST STE A6, EDISON, NJ 08820(908) 757-9555 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, May 5, 2021, Nov 17, 2020 (3 updates tracked since 2020).

About Heather Patel Pa-c NPPES

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

HEATHER PATEL PA-C (NPI 1659974152) is an individual physician assistant in Edison, New Jersey, licensed in New Jersey (MP00590600) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clifton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659974152
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER PATELCredential: PA-C
Location Address34-36 PROGRESS ST STE A6Edison, NJ 08820-1197
Mailing Address34-36 Progress St Ste A6Edison, NJ 08820-1197 · (908) 757-9555
Phone(908) 757-9555
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 17, 2020
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1659974152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · MP00590600
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 25MP00590600 (NJ)
34-36 PROGRESS ST STE A6, Edison, NJ 08820
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Secondary Practice Location 1

Location 11255 Broad StClifton, NJ 07013-3398 · Phone (973) 685-5735

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

Heather Patel Pa-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 ID3274921218
PECOS Enrollment IDI20211025002977
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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
261 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
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.
156 services110 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
123 services91 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
104 services68 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
67 services67 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.
61 services61 patients

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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

77.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.24
Promoting Interoperability99
Improvement Activities40
Cost26.7

Other Providers at the Same Location NPPES 2

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

KIRIT PATEL, M.D.P.A
Obstetrics & Gynecology
34-36 PROGRESS ST STE A6
EDISON, NJ 08820
Middlesex County (908) 757-9555
DR. ELIZABETH PANCRAZIO DNP, APN
Nurse Practitioner (Adult Health)
34-36 PROGRESS ST STE A6
EDISON, NJ 08820
Middlesex County (610) 627-4400

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 Heather Patel's NPI number?

The NPI number for Heather Patel is 1659974152. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Heather Patel located?

Heather Patel practices at 34-36 Progress St Ste A6, Edison, NJ 08820. The listed phone number is (908) 757-9555.

What is Heather Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Patel enrolled in Medicare?

Yes. Heather Patel 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.

When was this NPI record last updated?

The NPPES record for Heather Patel was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.