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DR. NEIL ABRAHAM NINAN M.D.
NPI 1689970790
Internal Medicine - Pulmonary Disease in Toms River, NJ

Active since February 07, 2011PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
67 RTE 37 W FL 3, TOMS RIVER, NJ 08755(732) 557-8000(732) 818-3820 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, Aug 20, 2024 (2 updates tracked since 2024).

About Dr. Neil Abraham Ninan M.d. NPPES

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

DR. NEIL ABRAHAM NINAN M.D. (NPI 1689970790) is an individual pulmonary disease provider in Toms River, New Jersey, licensed in New Jersey (25MA12372600) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and maintains a secondary practice location in Eatontown.

NPPES Registry Identity

NPI1689970790
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NEIL ABRAHAM NINANCredential: M.D.
Location Address67 RTE 37 W FL 3Toms River, NJ 08755-6400
Mailing Address67 Rte 37 W Fl 3Toms River, NJ 08755-6400 · (732) 818-3811 · Fax (732) 818-3820
Phone(732) 557-8000
Fax(732) 818-3820
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 7, 2011
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1689970790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NJ · 25MA12372600✔ Licensed in NC · 2011-00266
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
67 RTE 37 W FL 3, Toms River, NJ 08755
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Wyckoff Rd Ste 1400Eatontown, NJ 07724-1928 · Phone (732) 818-3820 · Fax (732) 818-3811

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

Dr. Neil Abraham Ninan M.d. 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 ID6507035946
PECOS Enrollment IDI20241016000334
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services23 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

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 Neil Ninan's NPI number?

The NPI number for Neil Ninan is 1689970790. It was assigned to this individual provider in the NPPES registry on February 7, 2011.

Where is Neil Ninan located?

Neil Ninan practices at 67 Rte 37 W Fl 3, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Neil Ninan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Neil Ninan enrolled in Medicare?

Yes. Neil Ninan 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.

Is Neil Ninan affiliated with any hospitals?

According to CMS data, Neil Ninan is affiliated with Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Neil Ninan was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.