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MS. LA-TOYA JUANITA NEWSOME
NPI 1801219183
Nurse Practitioner - Adult Health in Somerset, NJ

Active since January 22, 2014PECOS EnrolledAccepts Medicare Assignment
14 MARIANO CT, SOMERSET, NJ 08873(862) 485-5780 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2023, Oct 26, 2022 (2 updates tracked since 2022).

About Ms. La-toya Juanita Newsome NPPES

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

MS. LA-TOYA JUANITA NEWSOME (NPI 1801219183) is an individual adult health provider in Somerset, New Jersey, licensed in New Jersey (26NJ00470900) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801219183
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. LA-TOYA JUANITA NEWSOME
Location Address14 MARIANO CTSomerset, NJ 08873-1676
Mailing Address89 Kendall RdKendall Park, NJ 08824-1252 · (862) 485-5780
Phone(862) 485-5780
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 22, 2014
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1801219183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00470900
14 MARIANO CT, Somerset, NJ 08873
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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

Ms. La-toya Juanita Newsome 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 ID1658693627
PECOS Enrollment IDI20141202000472, I20160510000240, I20241217000191
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 7

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 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.
329 services234 patients
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.
90 services77 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.
84 services37 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
69 services30 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.
49 services49 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.
34 services27 patients

Hospital Affiliations CMS Care Compare

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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.

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 La-toya Newsome's NPI number?

The NPI number for La-toya Newsome is 1801219183. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Where is La-toya Newsome located?

La-toya Newsome practices at 14 Mariano Ct, Somerset, NJ 08873. The listed phone number is (862) 485-5780.

What is La-toya Newsome's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is La-toya Newsome enrolled in Medicare?

Yes. La-toya Newsome 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 La-toya Newsome affiliated with any hospitals?

According to CMS data, La-toya Newsome is affiliated with Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for La-toya Newsome was last updated on May 8, 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.