DR. HETAL C JOSHI M.D.
NPI 1790729879
Emergency Medicine in Edison, NJ

Q: What is Hetal Joshi's NPI number?

The NPI number for Hetal Joshi is 1790729879. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Hetal Joshi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Hetal Joshi was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment

50.42/100

CMS Quality Rating

65 JAMES ST, EDISON, NJ 08820(732) 321-7605 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, May 1, 2023, Sep 20, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Hetal C Joshi M.d. NPPES

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

DR. HETAL C JOSHI M.D. (NPI 1790729879) is an individual emergency medicine provider in Edison, New Jersey, licensed in New Jersey (25MA08171700) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Trenton.

NPPES Registry Identity

NPI1790729879

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. HETAL C JOSHICredential: M.D.

Location Address65 JAMES STEdison, NJ 08820-3947

Mailing Address65 James StEdison, NJ 08820-3947 · (732) 321-7605

Phone(732) 321-7605

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJune 16, 2006

Last NPPES UpdateJune 9, 20234 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1790729879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NJ · 25MA08171700

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

65 JAMES ST, Edison, NJ 08820

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Secondary Practice Location 1

Location 1601 Hamilton AveTrenton, NJ 08629-1915 · Phone (609) 599-5210

Other Identifiers 4

Other2637029000PA · Independence Bc

Medicaid1014728870002PA

OtherJO1800421PA · Highmark Bs

Medicaid0132772NJ

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. Hetal C Joshi 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 ID6406860485

PECOS Enrollment IDI20070628000478

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

553 services533 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

102 services101 patients

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.

48 services48 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

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.

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.

50.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

33.33

Improvement Activities

Cost

30.61

Reported Quality Measures

Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain

100%29 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. LAMA EL ZEIN M.D

Family Medicine

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7487

MARLINE SPENCER RN, MSN, NP-C

Nurse Practitioner (Gerontology)

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 744-5537

MARIA P MASIH MD

Family Medicine

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7487

KRISSA MATARLO-SMITH APN

Nurse Practitioner (Adult Health)

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7733

ASHLEY MARGARITONDO DPT

Physical Therapist

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7000

MICHAEL D. CALI MD

Emergency Medicine

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7000

STACEY JOU MD

Physical Medicine & Rehabilitation (Brain Injury Medicine)

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7070

MERARI SINGH APN

Nurse Practitioner

65 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7000

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 Hetal Joshi's NPI number?

The NPI number for Hetal Joshi is 1790729879. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Hetal Joshi located?

Hetal Joshi practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7605.

What is Hetal Joshi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Hetal Joshi enrolled in Medicare?

Yes. Hetal Joshi 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 Hetal Joshi affiliated with any hospitals?

According to CMS data, Hetal Joshi is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Hetal Joshi was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.