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NEIZA L PRADO-GALARZA MD
NPI 1689695918
Psychiatry & Neurology - Geriatric Psychiatry in Freehold, NJ

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
200 VILLAGE CENTER DR, SUITE #7047, FREEHOLD, NJ 07728(732) 431-8075(732) 431-0307 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Neiza L Prado-galarza Md NPPES

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

NEIZA L PRADO-GALARZA MD (NPI 1689695918) is an individual geriatric psychiatry provider in Freehold, New Jersey, licensed in New Jersey (MA06315000) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Ponce School Of Medicine (1990).

NPPES Registry Identity

NPI1689695918
Entity TypeIndividualFemale
Primary Taxonomy2084P0805X
Provider Legal NameNEIZA L PRADO-GALARZACredential: MD
Location Address200 VILLAGE CENTER DR, SUITE #7047Freehold, NJ 07728-3197
Mailing AddressPo Box 7047Freehold, NJ 07728-7047 · (732) 431-8075 · Fax (732) 431-0307
Phone(732) 431-8075
Fax(732) 431-0307
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1990
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1689695918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in NJ · MA06315000
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MA06315000 (NJ)
200 VILLAGE CENTER DR, Freehold, NJ 07728
Open in Google Maps ↗

Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-0100 · Phone (843) 792-1414

Other Identifiers 2

Medicaid6887406NJ
MedicaidMEDICAIN PROVIDER #NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Neiza L Prado-galarza Md 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 ID6204874340
PECOS Enrollment IDI20050420000316, I20251029004919, I20251201003642
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

4

Medicare enrollment records show Neiza Prado-galarza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nlp Behavioral Services LLC
Same address
Psychiatry
200 VILLAGE CENTER DR, SUITE #7047
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 16 clinicians in this Medicare group
NPI 1104969096 (732) 431-8075
Mcleod Regional Medical Center Of The Pee Dee, Inc
514 mi
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
NPI 1154371433 (843) 777-2000
Musc Community Physicians
606 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Central Florida Geriatric Psychiatry Inc
901 mi
Psychiatry
425 W COLONIAL DR, SUITE 302
Orlando, FL 32804
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1609191956 (407) 362-5459

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
512 services233 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
179 services99 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
153 services153 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
82 services31 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
72 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

NLP BEHAVIORAL SERVICES LLC
Psychiatry & Neurology (Psychiatry)
200 VILLAGE CENTER DR, SUITE #7047
FREEHOLD, NJ 07728
Monmouth County (732) 431-8075

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 Neiza Prado-galarza's NPI number?

The NPI number for Neiza Prado-galarza is 1689695918. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Neiza Prado-galarza located?

Neiza Prado-galarza practices at 200 Village Center Dr Suite #7047, Freehold, NJ 07728. The listed phone number is (732) 431-8075.

What is Neiza Prado-galarza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Neiza Prado-galarza enrolled in Medicare?

Yes. Neiza Prado-galarza 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 Neiza Prado-galarza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neiza Prado-galarza reassigns Medicare benefits to 4 organizations: Nlp Behavioral Services LLC (Freehold, NJ), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC), Musc Community Physicians (Bamberg, SC) and Central Florida Geriatric Psychiatry Inc (Orlando, FL). 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 Neiza Prado-galarza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neiza Prado-galarza accept?

Health plans from BlueCross BlueShield of South Carolina, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Neiza Prado-galarza 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 Neiza Prado-galarza was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.