Dr Matin Mikayil Imanguli, MD, DDS is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" provider in Edison, New Jersey. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is
102 James St Ste 302, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 635-9300.
Dr Matin Mikayil Imanguli is licensed to practice in New Jersey (license number 25MA10294300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114065406.
Healthcare Provider's Profile
Full Name | Dr Matin Mikayil Imanguli |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 12 Years |
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Location | 102 James St Ste 302, Edison, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Matin Mikayil Imanguli attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2012
NPI Data:
- NPI Number: 1114065406
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618242710
- Enrollment ID: I20180521000302
Medical Identifiers
Medical identifiers for Dr Matin Mikayil Imanguli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114065406 | NPI | - | NPPES |
542034392 | Other | VA | TAX IDENTIFICATION |
113660124 | Other | VA | TAX IDENTIFICATION |
841629676 | Other | VA | TAX IDENTIFICATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 0401411071 (Virginia) | Secondary |
207Y00000X | Otolaryngology | Q0461 (Texas) | Secondary |
207Y00000X | Otolaryngology | 36041 (Alabama) | Secondary |
207Y00000X | Otolaryngology | 25MA10294300 (New Jersey) | Secondary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 25MA10294300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1166 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Matin Mikayil Imanguli allows following entities to bill medicare on his behalf.
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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Entity Name | Rutgers Health-rwj Neurosurgery Faculty |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083738637 PECOS PAC ID: 4587613443 Enrollment ID: O20050118000611 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matin Mikayil Imanguli is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Matin Mikayil Imanguli, MD, DDS 3600 Route 66 Fl 3, Neptune, NJ 07753-2645 Ph: (732) 807-0877 | Dr Matin Mikayil Imanguli, MD, DDS 102 James St Ste 302, Edison, NJ 08820-3970 Ph: (732) 635-9300 |
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