Nikunjkumar Patel, - Medicare Endocrinology in Toms River, NJ

Nikunjkumar Patel, is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Toms River, New Jersey. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Endocrinology. His current practice location is 99 Rte 37 W, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 781-6428.

Nikunjkumar Patel is licensed to practice in New Jersey (license number 25MA10366100) 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 1174039309.

Contact Information

Nikunjkumar Patel,
99 Rte 37 W,
Toms River, NJ 08755-6423
(732) 781-6428
Not Available

Map and Direction




Physician's Profile

Full NameNikunjkumar Patel
GenderMale
SpecialityEndocrinology
Experience15 Years
Location99 Rte 37 W, Toms River, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nikunjkumar Patel graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1174039309
  • Provider Enumeration Date: 12/26/2017
  • Last Update Date: 07/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355696444
  • Enrollment ID: I20180613001341

Medical Identifiers

Medical identifiers for Nikunjkumar Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174039309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA10366100 (New Jersey)Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 25MA10366100 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ocean Medical CenterBrick, NJHospital
Community Medical CenterToms river, NJHospital
Jfk Medical CenterEdison, NJHospital
Jersey Shore University Medical CenterNeptune, NJHospital
Southern Ocean Medical CenterManahawkin, NJHospital

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. Nikunjkumar Patel allows following entities to bill medicare on his behalf.
Entity NameAtlanticare Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405
Entity NameAtlanticare Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568663250
PECOS PAC ID: 0648181578
Enrollment ID: O20040622000289
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008
Entity NameRwjbh Emergency Medicine Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912510041
PECOS PAC ID: 0941612840
Enrollment ID: O20201217002547
Entity NameOceans Prime Diabetes And Endocrinology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730893769
PECOS PAC ID: 3173988201
Enrollment ID: O20230425001869

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. Nikunjkumar Patel 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 AddressPractice Location Address
Nikunjkumar Patel,
1925 Pacific Ave,
Atlantic City, NJ 08401-6713

Ph: (609) 441-8146
Nikunjkumar Patel,
99 Rte 37 W,
Toms River, NJ 08755-6423

Ph: (732) 781-6428

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.