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CARLOS EDUARDO LOZANO
NPI 1699324913
Nurse Practitioner - Family in Toms River, NJ

Active since September 09, 2019PECOS Enrolled
95.3/100
CMS Quality Rating
1430 HOOPER AVE, TOMS RIVER, NJ 08753(732) 557-0700 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Aug 16, 2020, Sep 9, 2019 (3 updates tracked since 2019).

About Carlos Eduardo Lozano NPPES

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

CARLOS EDUARDO LOZANO (NPI 1699324913) is an individual family provider in Toms River, New Jersey, licensed in New Jersey (26NJ00956500) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eatontown.

NPPES Registry Identity

NPI1699324913
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCARLOS EDUARDO LOZANO
Location Address1430 HOOPER AVEToms River, NJ 08753-2895
Mailing Address1430 Hooper AveToms River, NJ 08753-2895 · (732) 557-0700
Phone(732) 557-0700
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1699324913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00956500
1430 HOOPER AVE, Toms River, NJ 08753
Open in Google Maps ↗

Secondary Practice Location 1

Location 12-12 Corbett WayEatontown, NJ 07724-4251 · Phone (908) 675-4297

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Eduardo Lozano 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.

Areas of Expertise CMS Part B claims 11

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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,991 services884 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
2,277 services870 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
2,277 services870 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
612 services603 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
346 services343 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
220 services215 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
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.

95.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability99
Improvement Activities40
Cost82.55

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
8 suppliers211 claims211 services$18.27 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
8 suppliers250 claims1,497 services$35.83 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
4 suppliers48 claims48 services$184.32 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
8 suppliers248 claims14,619 services$1.31 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 16

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

ATLANTIC COAST ENDOSCOPIC SPINE CENTER
Neurological Surgery
1430 HOOPER AVE, SUITE 205
TOMS RIVER, NJ 08753
Ocean County (908) 600-5803
NEMIROFF CHIROPRACTIC ADVANTAGE CENTERS PC
Chiropractor
1430 HOOPER AVE, 203
TOMS RIVER, NJ 08753
Ocean County (723) 244-5340
BASS CHIROPRACTIC AND WELLNESS CENTER
Chiropractor
1430 HOOPER AVE, SUITE 203
TOMS RIVER, NJ 08753
Ocean County (732) 473-9532
ALLSHORE ORTHOPEDIC REHABILITATION, CORP.
Specialist
1430 HOOPER AVE, SUITE 201
TOMS RIVER, NJ 08753
Ocean County (732) 914-0000
EDWIN ROBERT HERNANDEZ DPT
Physical Therapist
1430 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 490-2798
WINIFRED A WELCH P.T.
Specialist
1430 HOOPER AVE, STE 201
TOMS RIVER, NJ 08753
Ocean County (732) 914-0000
GARY M COOKSON P.T.
Specialist
1430 HOOPER AVE, STE 201
TOMS RIVER, NJ 08753
Ocean County (732) 914-0000
CHRISTOPHER P GODEK MD PC
Plastic Surgery
1430 HOOPER AVE, SUITE 204
TOMS RIVER, NJ 08753
Ocean County (732) 281-1988

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 Carlos Lozano's NPI number?

The NPI number for Carlos Lozano is 1699324913. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Carlos Lozano located?

Carlos Lozano practices at 1430 Hooper Ave, Toms River, NJ 08753. The listed phone number is (732) 557-0700.

What is Carlos Lozano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carlos Lozano enrolled in Medicare?

Yes. Carlos Lozano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Lozano was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.