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SUNITA PATEL DNP, ANP-BC
NPI 1992950349
Nurse Practitioner in Passaic, NJ

Active since November 26, 2008PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
350 BOULEVARD, PASSAIC, NJ 07055(973) 365-4300 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2018, Aug 30, 2017 (2 updates tracked since 2017).

About Sunita Patel Dnp, Anp-bc NPPES

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

SUNITA PATEL DNP, ANP-BC (NPI 1992950349) is an individual nurse practitioner in Passaic, New Jersey, licensed in New Jersey (26NJ00175800) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992950349
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUNITA PATELCredential: DNP, ANP-BC
Location Address350 BOULEVARDPassaic, NJ 07055
Mailing Address350 BoulevardPassaic, NJ 07055 · (973) 365-4300
Phone(973) 365-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 26, 2008
Last NPPES UpdateJune 18, 20182 updates tracked since enumeration
✔ NPI 1992950349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NJ · 26NJ00175800✔ Licensed in PA · RN706025
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00175800 (NJ)
350 BOULEVARD, Passaic, NJ 07055
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Other Names 1

Former Name (1)Sunita A Patel Dnp, Anp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Sunita Patel Dnp, Anp-bc 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 ID6800953043
PECOS Enrollment IDI20090316000304
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

4

Medicare enrollment records show Sunita Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Associates Of St Marys LLC
Same address
Emergency Medicine
350 BOULEVARD
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
NPI 1477063329 (973) 365-4300
Nes Georgia Inc
8.2 mi
Emergency Medicine
111 CENTRAL AVE
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 67 clinicians in this Medicare group
NPI 1912411331 (973) 877-5000
Emergency Physician Associates Of North Jersey P C
15 mi
Emergency Medicine
99 BEAUVOIR AVE
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 436 clinicians in this Medicare group
NPI 1497783419 (908) 522-2000
Optum Medical Care Of New Jersey PC
25 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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.

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

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.

ASHWIN NELLIPARAMBIL JITHEESH
Student in an Organized Health Care Education/Training Program
350 BOULEVARD, ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC, NJ 07055
Passaic County (404) 503-3936
BAY RADIATION ONCOLOGY,P.L.L.C
Radiology (Therapeutic Radiology)
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-5088
EMERGENCY PHYSICIAN ASSOCIATES OF NORTH JERSEY, PC
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (856) 686-4306
ROYAL RX INC
Pharmacy (Community/Retail Pharmacy)
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-7143
DR. CHANG J LEE MD
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 779-7361
RON JAKO DARANTINAO DOMINGO
Student in an Organized Health Care Education/Training Program
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (732) 910-1335
JOHN P. HALLENBECK DO
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-4489
MARGARET J WU M.D.
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-4300

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 Sunita Patel's NPI number?

The NPI number for Sunita Patel is 1992950349. It was assigned to this individual provider in the NPPES registry on November 26, 2008. The provider is also known as Sunita A Patel Dnp, Anp-Bc.

Where is Sunita Patel located?

Sunita Patel practices at 350 Boulevard, Passaic, NJ 07055. The listed phone number is (973) 365-4300.

What is Sunita Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sunita Patel enrolled in Medicare?

Yes. Sunita 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 organizations bill Medicare for Sunita Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunita Patel reassigns Medicare benefits to 4 organizations: Emergency Associates Of St Marys LLC (Passaic, NJ), Nes Georgia Inc (Newark, NJ), Emergency Physician Associates Of North Jersey P C (Summit, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Sunita Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunita Patel accept?

Health plans from Oscar Health list Sunita 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.

When was this NPI record last updated?

The NPPES record for Sunita Patel was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.