DR. ADAM HALPERN DO
NPI 1881343358
Pediatrics in Millburn, NJ

Active since March 22, 2022PECOS Enrolled
225D MILLBURN AVE, SUITES 301 & 303, MILLBURN, NJ 07041(973) 376-7337(973) 218-6647 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Adam Halpern Do NPPES

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

DR. ADAM HALPERN DO (NPI 1881343358) is an individual pediatrics provider in Millburn, New Jersey, licensed in New Jersey (25MB12616400) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881343358
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ADAM HALPERNCredential: DO
Location Address225D MILLBURN AVE, SUITES 301 & 303Millburn, NJ 07041
Mailing Address24 Oak AveWest Orange, NJ 07052-2410 · (973) 349-7703
Fax(973) 218-6647
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1881343358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB12616400
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
225D MILLBURN AVE, Millburn, NJ 07041

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Halpern Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486144920
PECOS Enrollment IDI20251104002700
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

2

Medicare enrollment records show Adam Halpern reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 WORLDS FAIR DR
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Anesthesiology
125 PATERSON ST STE 5123
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group

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 07041 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 Adam Halpern's NPI number?

The NPI number for Adam Halpern is 1881343358. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Adam Halpern located?

Adam Halpern practices at 225D Millburn Ave Suites 301 & 303, Millburn, NJ 07041. The listed phone number is (973) 376-7337.

What is Adam Halpern's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adam Halpern enrolled in Medicare?

Yes. Adam Halpern is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Halpern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Halpern reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Primary Medicine Group (Somerset, NJ) and Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ). Each 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 Adam Halpern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Halpern accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Adam Halpern 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 Adam Halpern was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.