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RUCHIKA SETHI APRN, NP-BC
NPI 1669897732
Nurse Practitioner - Adult Health in Livingston, NJ

Active since February 26, 2014PECOS Enrolled
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039(973) 322-5000 Get Directions Write a Review

NPPES record last updated: September 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ruchika Sethi Aprn, Np-bc NPPES

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

RUCHIKA SETHI APRN, NP-BC (NPI 1669897732) is an individual adult health provider in Livingston, New Jersey, licensed in New Jersey (26NJ00486700) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669897732
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRUCHIKA SETHICredential: APRN, NP-BC
Location Address94 OLD SHORT HILLS RDLivingston, NJ 07039-5672
Mailing Address94 Old Short Hills RdLivingston, NJ 07039-5672
Phone(973) 322-5000
Sole ProprietorNo
Enumeration DateFebruary 26, 2014
Last NPPES UpdateSeptember 25, 2016
✔ NPI 1669897732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00486700
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00486700 (NJ)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ00486700 (NJ)
94 OLD SHORT HILLS RD, Livingston, NJ 07039
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruchika Sethi Aprn, Np-bc 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

2

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

Barnabas Health Medical Group PC
8.6 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Optum Medical Care Of New Jersey PC
32 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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 07039 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers33 claims2,370 services$0.34 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers16 claims16 services$17.86 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers16 claims16 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CASSIDY MARTIN DNP
Nurse Practitioner (Gerontology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-2793
HARRY S VANWAGENEN PA-C
Psychiatry & Neurology (Neurology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5000
CHISOM ENEKEBE
Pharmacist
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (862) 438-2289
ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY
Specialist
94 OLD SHORT HILLS RD, EAST WING, SUITE 305
LIVINGSTON, NJ 07039
Essex County (973) 322-9801
TERESITA C REDONDO MD
Pathology (Anatomic Pathology & Clinical Pathology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5763
DR. GREGORY JOSEPH ROKOSZ D.O.
Emergency Medicine
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5733
BILAL KHAN
Internal Medicine (Critical Care Medicine)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (646) 591-5953
MRS. KATHERINE DANIELLE SZUCS APN
Nurse Practitioner
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-2249

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 Ruchika Sethi's NPI number?

The NPI number for Ruchika Sethi is 1669897732. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Where is Ruchika Sethi located?

Ruchika Sethi practices at 94 Old Short Hills Rd, Livingston, NJ 07039. The listed phone number is (973) 322-5000.

What is Ruchika Sethi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ruchika Sethi enrolled in Medicare?

Yes. Ruchika Sethi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ruchika Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruchika Sethi reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Ruchika Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruchika Sethi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ruchika Sethi 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 Ruchika Sethi was last updated on September 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.