DR. LAVA Y PATEL MD
NPI 1982984977
Surgery in Perth Amboy, NJ

Active since August 22, 2011PECOS EnrolledAccepts Medicare Assignment
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861(732) 324-5075 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2024, Jan 21, 2016 (2 updates tracked since 2016).

About Dr. Lava Y Patel Md NPPES

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

DR. LAVA Y PATEL MD (NPI 1982984977) is an individual surgery provider in Perth Amboy, New Jersey, licensed in New Jersey (25MA10248800) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1982984977
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LAVA Y PATELCredential: MD
Location Address530 NEW BRUNSWICK AVEPerth Amboy, NJ 08861-3654
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 22, 2011
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1982984977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NJ · 25MA10248800✔ Licensed in IL · 125058737✔ Licensed in IL · 036129104
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
530 NEW BRUNSWICK AVE, Perth Amboy, NJ 08861

Secondary Practice Location 1

Location 12650 Ridge AveEvanston, IL 60201-1718 · Phone (847) 570-2461

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. Lava Y Patel 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.

PECOS PAC ID5092096388
PECOS Enrollment IDI20180413000723
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 Reassignment

Medicare enrollment records show Lava Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 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.

Hospital Affiliations CMS Care Compare

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08861 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 20

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

Anesthesiology
530 NEW BRUNSWICK AVE, DIVISION OF ANESTHESIOLOGY, RARITAN BAY MEDICAL CENTER
PERTH AMBOY, NJ 08861
Internal Medicine (Cardiovascular Disease)
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Internal Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Anesthesiology
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861

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 Lava Patel's NPI number?

The NPI number for Lava Patel is 1982984977. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Where is Lava Patel located?

Lava Patel practices at 530 New Brunswick Ave, Perth Amboy, NJ 08861. The listed phone number is (732) 324-5075.

What is Lava Patel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lava Patel enrolled in Medicare?

Yes. Lava 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.

Which organization bills Medicare for Lava Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lava Patel reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Lava Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lava Patel accept?

Health plans from Oscar Health list Lava 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 Lava Patel affiliated with any hospitals?

According to CMS data, Lava Patel is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Lava Patel was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.