1. Home
  2. Directory
  3. New Jersey
  4. Berkeley Heights
  5. Internal Medicine
  6. NPI Profile

ALISON KOLE MD
NPI 1770704116
Internal Medicine - Pulmonary Disease in Berkeley Heights, NJ

Active since May 02, 2007PECOS Enrolled
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8674 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alison Kole Md NPPES

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

ALISON KOLE MD (NPI 1770704116) is an individual pulmonary disease provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA08753800) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Florham Park, and is a graduate of Tufts University School Of Medicine (2004).

NPPES Registry Identity

NPI1770704116
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameALISON KOLECredential: MD
Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 277-8674
Phone(908) 277-8674
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2004
Enumeration DateMay 2, 2007
Last NPPES UpdateNovember 20, 2019
✔ NPI 1770704116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA08753800
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.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25MA08753800 (NJ)
1 DIAMOND HILL RD, Berkeley Heights, NJ 07922
Open in Google Maps ↗

Secondary Practice Location 1

Location 1140 Park AveFlorham Park, NJ 07932-1049 · Phone (973) 404-9930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Alison Kole Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678760659
PECOS Enrollment IDI20101203000664, I20120619000404, I20240205001554, I20250826002482
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

5

Medicare enrollment records show Alison Kole reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Patient First MD
25 mi
Epilepsy
1000 STATE ROUTE 35 STE 101
Middletown, NJ 07748
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1578286548 (732) 629-9699
Medical Associates Of Englewood, PC
28 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136
Daniel I Rifkin, MD, PC
274 mi
Sleep Medicine
1120 YOUNGS RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1730125139 (716) 923-7326
Ognomy Ga LLC
718 mi
Sleep Medicine
3750 PALLADIAN VILLAGE DR STE 110
Marietta, GA 30066
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1043817992 (678) 878-2555
Ognomy Sleep Associates Ca
2,550 mi
Sleep Medicine
201 SPEAR ST STE 1100
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1881390318 (877) 664-6669

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
20 suppliers411 claims411 services$30.50 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers223 claims223 services$69.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers184 claims530 services$27.14 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers144 claims809 services$14.39 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers65 claims361 services$11.43 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
19 suppliers283 claims283 services$42.53 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 20

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

SILPA GADIRAJU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DR. JOHN H DOKKO DO
Internal Medicine (Nephrology)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DENISE RIZZOLO PA
Physician Assistant
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
MARIA F DOMINGUEZ BERMEO MD
Family Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 219-6940
DR. LAWRENCE J NASTRO MD
Internal Medicine (Infectious Disease)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DEBRA A RYAN PT
Physical Therapist
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
CHRISTOPHER M BONI DO
Internal Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 277-8683
LAUREN BARON P.A.
Physician Assistant (Medical)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 277-8880

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 Alison Kole's NPI number?

The NPI number for Alison Kole is 1770704116. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Alison Kole located?

Alison Kole practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8674.

What is Alison Kole's specialty?

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

Is Alison Kole enrolled in Medicare?

Yes. Alison Kole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alison Kole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Kole reassigns Medicare benefits to 5 organizations: Patient First MD (Middletown, NJ), Medical Associates Of Englewood, PC (Englewood, NJ), Daniel I Rifkin, MD, PC (Williamsville, NY), Ognomy Ga LLC (Marietta, GA) and Ognomy Sleep Associates Ca (San Francisco, CA). 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 Alison Kole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alison Kole accept?

Health plans from Oscar Health list Alison Kole 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 Alison Kole was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.