1. Home
  2. Directory
  3. New Jersey
  4. East Orange
  5. Internal Medicine
  6. NPI Profile

DR. NIRMALA R KANIA M.D.
NPI 1831118009
Internal Medicine - Hematology & Oncology in East Orange, NJ

Active since July 19, 2006PECOS Enrolled
310 CENTRAL AVE, SUIT 106, EAST ORANGE, NJ 07018(973) 674-4542(973) 674-3901 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nirmala R Kania M.d. NPPES

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

DR. NIRMALA R KANIA M.D. (NPI 1831118009) is an individual hematology & oncology provider in East Orange, New Jersey, licensed in New Jersey (25MA04457800) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831118009
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. NIRMALA R KANIACredential: M.D.
Location Address310 CENTRAL AVE, SUIT 106East Orange, NJ 07018-2835
Mailing Address310 Central Ave, Suit 106East Orange, NJ 07018-2835 · (973) 674-4542 · Fax (973) 674-3901
Phone(973) 674-4542
Fax(973) 674-3901
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1831118009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NJ · 25MA04457800
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
310 CENTRAL AVE, East Orange, NJ 07018
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified706230NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nirmala R Kania M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
243 services39 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.
113 services48 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.
102 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
86 services17 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.
44 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
22%139 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%1,634 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%636 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%371 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%272 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
33%218 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%436 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
33%260 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 324 patients
Patients tobacco: 91% · 324 patients
54%41 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
4%272 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%272 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 7% · 218 patients
21%218 patients1/55-star benchmark: 100%
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. VICTOR T VERLEZZA D.C.
Chiropractor
310 CENTRAL AVE, SUITE 307
EAST ORANGE, NJ 07018
Essex County (973) 266-7860
DR. NABEEL OBAID MD
Internal Medicine (Infectious Disease)
310 CENTRAL AVE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (201) 512-9494
LIANMED INC
Internal Medicine (Infectious Disease)
310 CENTRAL AVE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (201) 512-9494
ESSEX VALLEY SPINE CARE PC
Chiropractor (Rehabilitation)
310 CENTRAL AVE, SUITE 307
EAST ORANGE, NJ 07018
Essex County (973) 266-7860
SMITH CENTER FOR INFECTIOUS DISEASES AND URBAN HEALTH, P.A.
Voluntary or Charitable
310 CENTRAL AVE, SUITE 307- TIMESHARE
EAST ORANGE, NJ 07018
Essex County (973) 809-4550
ORANGE MEDICAL GROUP PA
Internal Medicine (Hematology & Oncology)
310 CENTRAL AVE, SUITE 106
EAST ORANGE, NJ 07018
Essex County (973) 674-4542
EAST ORANGE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
310 CENTRAL AVE, STE 111
EAST ORANGE, NJ 07018
Essex County (973) 674-5777
A1 MEDICAL CARE PC
Clinic/Center (Primary Care)
310 CENTRAL AVE, SUITE 310
EAST ORANGE, NJ 07018
Essex County (973) 678-2900

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 Nirmala Kania's NPI number?

The NPI number for Nirmala Kania is 1831118009. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Nirmala Kania located?

Nirmala Kania practices at 310 Central Ave Suit 106, East Orange, NJ 07018. The listed phone number is (973) 674-4542.

What is Nirmala Kania's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Nirmala Kania enrolled in Medicare?

Yes. Nirmala Kania is registered in the Medicare PECOS enrollment system.

What insurance does Nirmala Kania accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nirmala Kania 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 Nirmala Kania was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.