DR. JULES PLAFKER M.D.
NPI 1982647780
Pathology - Anatomic Pathology & Clinical Pathology in Newark, NJ
About Dr. Jules Plafker M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JULES PLAFKER M.D. (NPI 1982647780) is an individual anatomic pathology & clinical pathology provider in Newark, New Jersey, licensed in New Jersey (25MA02573400) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1964).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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. Jules Plafker 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jules Plafker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07103
- Reassigned Medicare billing, New Jersey enrollment
- 28 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 492 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 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
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey City Medical Center
Acute Care Hospitals · Jersey City, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Jules Plafker's NPI number?
The NPI number for Jules Plafker is 1982647780. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Jules Plafker located?
Jules Plafker practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7307.
What is Jules Plafker's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Jules Plafker enrolled in Medicare?
Yes. Jules Plafker 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 Jules Plafker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jules Plafker reassigns Medicare benefits to 4 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, 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 Jules Plafker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jules Plafker accept?
Health plans from Oscar Health list Jules Plafker 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 Jules Plafker affiliated with any hospitals?
According to CMS data, Jules Plafker is affiliated with Jersey City Medical Center.
When was this NPI record last updated?
The NPPES record for Jules Plafker was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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. Jules Plafker, M.D. · NPI 1982647780
Anatomic Pathology & Clinical Pathology physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1982647780 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 25MA02573400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-7307
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): University Physician Associates Of New Jersey Inc (NPI 1871503474, Newark, NJ); Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Rutgers Health-Rwj Pediatric Critical Care (NPI 1063420776, New Brunswick, NJ); Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 1964
## Record status
- **NPPES last updated:** August 14, 2019
- **Other identifiers:** Medicaid 6926002 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1982647780) · Data from the CMS NPPES public registry.