1. Home
  2. Directory
  3. New Jersey
  4. Toms River
  5. Internal Medicine
  6. NPI Profile

DR. HITEN PATEL M.D.
NPI 1902284680
Internal Medicine in Toms River, NJ

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment
99 NJ-37, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Hiten Patel M.d. NPPES

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

DR. HITEN PATEL M.D. (NPI 1902284680) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (25MA10334200) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Hamilton, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1902284680
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HITEN PATELCredential: M.D.
Location Address99 NJ-37Toms River, NJ 08755
Mailing Address365 Bond St Apt A520Brooklyn, NY 11231-5145 · (847) 363-2976
Phone(732) 557-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 13, 2015
Last NPPES UpdateSeptember 26, 2019
✔ NPI 1902284680 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 · 25MA10334200
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.
99 NJ-37, Toms River, NJ 08755
Open in Google Maps ↗

Secondary Practice Location 1

Location 1150 55th StBrooklyn, NY 11220-2508 · Phone (718) 630-7000

Accepted Insurance

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

Dr. Hiten Patel 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 ID3577807064
PECOS Enrollment IDI20181211001332, I20200316000256
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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,779 services331 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,193 services243 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.
374 services133 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
142 services132 patients
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.
88 services43 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.
64 services59 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ASENSIO DO
Emergency Medicine
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (610) 790-4838
THOMAS GERARD FULCINITI
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
KEVIN JOSEPH EDGEWORTH PA-C
Physician Assistant
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
CANDICE NICOLE TATE
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
MILAN B PATEL
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
SHEALIN DONOVAN
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
CHRISTOPHER KESHISHIAN
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
MUHAMMAD SAIFULLAH TIWANA
Internal Medicine
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000

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 Hiten Patel's NPI number?

The NPI number for Hiten Patel is 1902284680. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Hiten Patel located?

Hiten Patel practices at 99 Nj-37, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Hiten Patel's specialty?

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

Is Hiten Patel enrolled in Medicare?

Yes. Hiten Patel 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.

What insurance does Hiten Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Hiten Patel 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.

Is Hiten Patel affiliated with any hospitals?

According to CMS data, Hiten Patel is affiliated with Robert Wood Johnson University Hospital At Hamilton, Temple University Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Hiten Patel was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.