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DR. NIGAM DHARMENDRA PATEL MD
NPI 1710474127
Internal Medicine - Rheumatology in Toms River, NJ

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
780 ROUTE 37 W STE 110, TOMS RIVER, NJ 08755(848) 317-8152(848) 317-8188 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2026, Mar 4, 2026, Mar 20, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Nigam Dharmendra Patel Md NPPES

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

DR. NIGAM DHARMENDRA PATEL MD (NPI 1710474127) is an individual rheumatology provider in Toms River, New Jersey, licensed in New Jersey (25MA11371800) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1710474127
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NIGAM DHARMENDRA PATELCredential: MD
Location Address780 ROUTE 37 W STE 110Toms River, NJ 08755-5059
Mailing Address780 Route 37 W Ste 110Toms River, NJ 08755-5059 · (848) 317-8152 · Fax (848) 317-8188
Phone(848) 317-8152
Fax(848) 317-8188
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 20, 2018
Last NPPES UpdateApril 1, 20265 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1710474127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NJ · 25MA11371800
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA11371800 (NJ)
780 ROUTE 37 W STE 110, Toms River, NJ 08755
Open in Google Maps ↗

Secondary Practice Location 1

Location 199 Beauvoir AveSummit, NJ 07901-3533 · Phone (908) 522-6414 · Fax (908) 598-2337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Nigam Dharmendra Patel 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 ID3870977432
PECOS Enrollment IDI20220830004613
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 Nigam Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Honesticare LLC
Same address
Specialist
780 ROUTE 37 W STE 110
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1548132558 (312) 731-9656
Advocare, LLC
37 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055
Practice Associates Medical Group
58 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
The Radiology Group Of New Jersey, LLC
69 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621

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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,460 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
378 services184 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
292 services153 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
123 services123 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
100 services39 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
71 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

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.

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.

HONESTICARE LLC
Specialist
780 ROUTE 37 W STE 110
TOMS RIVER, NJ 08755
Ocean County (312) 731-9656
SHIVANI NITIN PATEL MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
780 ROUTE 37 W STE 110
TOMS RIVER, NJ 08755
Ocean County (848) 317-8152

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 Nigam Patel's NPI number?

The NPI number for Nigam Patel is 1710474127. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Nigam Patel located?

Nigam Patel practices at 780 Route 37 W Ste 110, Toms River, NJ 08755. The listed phone number is (848) 317-8152.

What is Nigam Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nigam Patel enrolled in Medicare?

Yes. Nigam 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.

Which organizations bill Medicare for Nigam Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nigam Patel reassigns Medicare benefits to 4 organizations: Honesticare LLC (Toms River, NJ), Advocare, LLC (Marlton, NJ), Practice Associates Medical Group (Morristown, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). 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 Nigam Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nigam Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nigam Patel 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.

Is Nigam Patel affiliated with any hospitals?

According to CMS data, Nigam Patel is affiliated with Community Medical Center, Overlook Medical Center, Ocean Medical Center, Jfk Medical Center and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Nigam Patel was last updated on April 1, 2026. 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.