PRAJAKTA V AVHAD M.D.
NPI 1861709156
Anesthesiology - Pain Medicine in Somerset, NJ

Q: What is Prajakta Avhad's NPI number?

The NPI number for Prajakta Avhad is 1861709156. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Q: What is Prajakta Avhad's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Prajakta Avhad was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 08, 2010PECOS EnrolledAccepts Medicare Assignment

57.66/100

CMS Quality Rating

51 VERONICA AVE, SOMERSET, NJ 08873(732) 846-7000(732) 846-7001 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2024, Aug 11, 2024, Aug 10, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Prajakta V Avhad M.d. NPPES

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

PRAJAKTA V AVHAD M.D. (NPI 1861709156) is an individual pain medicine provider in Somerset, New Jersey, licensed in New Jersey (25MA09001500) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861709156

Entity TypeIndividualFemale

Primary Taxonomy207LP2900X

Provider Legal NamePRAJAKTA V AVHADCredential: M.D.

Location Address51 VERONICA AVESomerset, NJ 08873-3448

Mailing Address51 Veronica AveSomerset, NJ 08873-3448 · (732) 476-8970 · Fax (732) 846-7001

Phone(732) 846-7000

Fax(732) 846-7001

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 8, 2010

Last NPPES UpdateSeptember 20, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1861709156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Licenses✔ Licensed in NJ · 25MA09001500✔ Licensed in NY · 257357✔ Licensed in PA · MD472148✔ Licensed in OH · 095776

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

51 VERONICA AVE, Somerset, NJ 08873

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Secondary Practice Locations 2

Location 1283 Applegarth RdMonroe Township, NJ 08831-3737 · Phone (732) 846-7000 · Fax (732) 846-7001

Location 21925 State Route 27Edison, NJ 08817-3250 · Phone (732) 846-7000 · Fax (732) 846-7001

Other Identifiers 1

Medicaid0311791NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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 and accepts Medicare assignment

Prajakta V Avhad 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 ID3577721364

PECOS Enrollment IDI20120224000574

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

Medicare enrollment records show Prajakta Avhad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart & Vascular Center Of New Brunswick LLC

Same address

Cardiovascular Disease

51 VERONICA AVE
Somerset, NJ 08873

Reassigned Medicare billing, New Jersey enrollment
12 clinicians in this Medicare group

NPI 1952424731 (732) 846-7000

Avenel Iselin Medical Group, LLC

11 mi

Durable Medical Equipment & Medical Supplies

400 GILL LN
Iselin, NJ 08830

Reassigned Medicare billing, New Jersey enrollment
29 clinicians in this Medicare group

NPI 1487674867 (732) 404-1580

Advanced Garden State Cardiology LLC

29 mi

Cardiovascular Disease

550 NEWARK AVE, SUITE 307
Jersey City, NJ 07306

Reassigned Medicare billing, New Jersey enrollment
14 clinicians in this Medicare group

NPI 1639481583 (201) 418-9111

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

Areas of Expertise CMS Part B claims 13

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

316 services25 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.

201 services76 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.

66 services40 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

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

46 services32 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

41 services20 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

30 services25 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

28 services23 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

26 services14 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

26 services14 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

24 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

14 services12 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

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.

57.66/100

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

Scored as part of a group practice

Quality

75.36

Promoting Interoperability

Improvement Activities

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.

NIPA DANI MD

Family Medicine