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STEPHANIE E MITSOS M.D.
NPI 1861679516
Internal Medicine in Tinton Falls, NJ

Active since January 24, 2008PECOS Enrolled
55 N GILBERT ST, SUITE 3201, TINTON FALLS, NJ 07701(732) 450-0961(732) 536-0213 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephanie E Mitsos M.d. NPPES

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

STEPHANIE E MITSOS M.D. (NPI 1861679516) is an individual internal medicine provider in Tinton Falls, New Jersey, licensed in New Jersey (25MA06156500) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861679516
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHANIE E MITSOSCredential: M.D.
Location Address55 N GILBERT ST, SUITE 3201Tinton Falls, NJ 07701-4955
Mailing Address55 N Gilbert St, Suite 3201Tinton Falls, NJ 07701-4955 · (732) 450-0961 · Fax (732) 536-0213
Phone(732) 450-0961
Fax(732) 536-0213
Sole ProprietorNo
Enumeration DateJanuary 24, 2008
Last NPPES UpdateSeptember 22, 2016
✔ NPI 1861679516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06156500
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
55 N GILBERT ST, Tinton Falls, NJ 07701
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie E Mitsos 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Mitsos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC
1.1 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

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 07701 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

TARUN KAKUMANU DO
Family Medicine
55 N GILBERT ST
TINTON FALLS, NJ 07701
Monmouth County (732) 450-0961
SHAW B CONDIOTTE M.D.
Pediatrics
55 N GILBERT ST, SUITE 2101
TINTON FALLS, NJ 07701
Monmouth County (732) 842-6677
DR. JONATHAN DANIEL PEARLSON PSY.D.
Clinical Neuropsychologist
55 N GILBERT ST, BUILDING 4, SUITE 4101
TINTON FALLS, NJ 07701
Monmouth County (732) 842-4751
EAST ORANGE VAMC
Clinic/Center (VA)
55 N GILBERT ST, BLDG 4, 1ST FLOOR, SUITE 4101
TINTON FALLS, NJ 07701
Monmouth County (717) 277-6565
BRENDA MAE SALVADOR-GOON MD
Pediatrics
55 N GILBERT ST, SUITE #2101
TINTON FALLS, NJ 07701
Monmouth County (732) 842-6677
RICHARD T. SHEERIN D.C.
Chiropractor
55 N GILBERT ST, STE 3101
TINTON FALLS, NJ 07701
Monmouth County (732) 747-2000
JILLELLEN HERZOG LPC
Counselor (Professional)
55 N GILBERT ST, SUITE 3202
TINTON FALLS, NJ 07701
Monmouth County (732) 500-7076
DR. JAIME MARIE CONNORS D.O
Pediatrics
55 N GILBERT ST
TINTON FALLS, NJ 07701
Monmouth County (732) 842-6677

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 Stephanie Mitsos's NPI number?

The NPI number for Stephanie Mitsos is 1861679516. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Where is Stephanie Mitsos located?

Stephanie Mitsos practices at 55 N Gilbert St Suite 3201, Tinton Falls, NJ 07701. The listed phone number is (732) 450-0961.

What is Stephanie Mitsos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephanie Mitsos enrolled in Medicare?

Yes. Stephanie Mitsos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Mitsos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Mitsos reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Stephanie Mitsos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Mitsos accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Stephanie Mitsos 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 Stephanie Mitsos was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.