POONAM C PATEL PA-C
NPI 1720430622
Physician Assistant in Lawrenceville, NJ

Active since July 05, 2016PECOS EnrolledAccepts Medicare Assignment
123 FRANKLIN CORNER RD STE 114, LAWRENCEVILLE, NJ 08648(609) 512-1690(609) 512-1674 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2026, Feb 20, 2025 (2 updates tracked since 2025).

About Poonam C Patel Pa-c NPPES

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

POONAM C PATEL PA-C (NPI 1720430622) is an individual physician assistant in Lawrenceville, New Jersey, licensed in New Jersey (25MP00450200) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720430622
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePOONAM C PATELCredential: PA-C
Location Address123 FRANKLIN CORNER RD STE 114Lawrenceville, NJ 08648-2526
Mailing Address90 Matawan Rd Ste 302Matawan, NJ 07747-2653 · (732) 441-7177 · Fax (732) 441-7165
Fax(609) 512-1674
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 5, 2016
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1720430622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00450200
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA058211 (PA)
123 FRANKLIN CORNER RD STE 114, Lawrenceville, NJ 08648

Accepted Insurance

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

Poonam C Patel Pa-c 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 ID5991099202
PECOS Enrollment IDI20240509002233
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.

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.
51 services45 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.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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 3

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

Durable Medical Equipment & Medical Supplies
123 FRANKLIN CORNER RD STE 114
LAWRENCEVILLE, NJ 08648
Physical Therapist
123 FRANKLIN CORNER RD STE 114
LAWRENCEVILLE, NJ 08648
Pain Medicine (Interventional Pain Medicine)
123 FRANKLIN CORNER RD STE 114
LAWRENCEVILLE, NJ 08648

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 Poonam Patel's NPI number?

The NPI number for Poonam Patel is 1720430622. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Poonam Patel located?

Poonam Patel practices at 123 Franklin Corner Rd Ste 114, Lawrenceville, NJ 08648. The listed phone number is (609) 512-1690.

What is Poonam Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Poonam Patel enrolled in Medicare?

Yes. Poonam 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.

What insurance does Poonam Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Poonam 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.

When was this NPI record last updated?

The NPPES record for Poonam Patel was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.