DR. NICOLE GABRIELLE BABUSHKIN MD
NPI 1912495284
Family Medicine in Forked River, NJ
About Dr. Nicole Gabrielle Babushkin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE GABRIELLE BABUSHKIN MD (NPI 1912495284) is an individual family medicine provider in Forked River, New Jersey, licensed in New Jersey (25MA11071400) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Brick.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Nicole Gabrielle Babushkin Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Babushkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, NJ 08527
- Reassigned Medicare billing, New Jersey enrollment
- 37 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Medical Center
Acute Care Hospitals · Toms River, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Babushkin's NPI number?
The NPI number for Nicole Babushkin is 1912495284. It was assigned to this individual provider in the NPPES registry on April 23, 2018.
Where is Nicole Babushkin located?
Nicole Babushkin practices at 138 Route 9, Forked River, NJ 08731. The listed phone number is (609) 756-0000.
What is Nicole Babushkin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nicole Babushkin enrolled in Medicare?
Yes. Nicole Babushkin 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.
Which organizations bill Medicare for Nicole Babushkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Babushkin reassigns Medicare benefits to 2 organizations: Somc Medical Group PC (Jackson, NJ) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, 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 Nicole Babushkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Babushkin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nicole Babushkin 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 Nicole Babushkin affiliated with any hospitals?
According to CMS data, Nicole Babushkin is affiliated with Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Babushkin was last updated on November 6, 2023. 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.
# Dr. Nicole Gabrielle Babushkin, MD · NPI 1912495284
Family Medicine physician in Forked River, New Jersey. Individual provider, active in the CMS NPPES registry since April 23, 2018.
## Identity
- **NPI:** 1912495284 (Entity type: Individual)
- **Enumerated:** April 23, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA11071400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 138 ROUTE 9, Forked River, NJ 08731-3625
- **Phone:** (609) 756-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Somc Medical Group PC (NPI 1699004606, Jackson, NJ); Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912495284) · Data from the CMS NPPES public registry.