Dr Nilesh Narendra Papaiya, OD - Medicare Optometrist in South Plainfield, NJ

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Dr Nilesh Narendra Papaiya, OD is a medicare enrolled "Optometrist" provider in South Plainfield, New Jersey. His current practice location is 911 Oak Tree Ave Ste A1, South Plainfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 822-1100.

Dr Nilesh Narendra Papaiya is licensed to practice in New Jersey (license number 27OA00600601) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649337809.

Contact Information

Dr Nilesh Narendra Papaiya, OD
911 Oak Tree Ave Ste A1,
South Plainfield, NJ 07080-5130
(908) 822-1100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nilesh Narendra Papaiya
GenderMale
SpecialityOptometrist
Location911 Oak Tree Ave Ste A1, South Plainfield, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649337809
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 05/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173697141
  • Enrollment ID: I20080808000612

Medical Identifiers

Medical identifiers for Dr Nilesh Narendra Papaiya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649337809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 27TO00139201 (New Jersey)Secondary
152W00000XOptometrist 27OA00600601 (New Jersey)Primary

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 Nilesh Narendra Papaiya allows following entities to bill medicare on his behalf.
Provider NameResident Eye Care Associates Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508883307
PECOS PAC ID: 1153310180
Enrollment ID: O20040506001013
Provider NameHome Vision Group Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609067230
PECOS PAC ID: 9133216054
Enrollment ID: O20071024000524
Provider NameEyekrafters Medical Optics,p.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578614947
PECOS PAC ID: 7113103904
Enrollment ID: O20110511000766
Provider NameTml Vision Care, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1275806929
PECOS PAC ID: 6103080155
Enrollment ID: O20120604000384

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 Nilesh Narendra Papaiya 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
Dr Nilesh Narendra Papaiya, OD
153 Robbins Ave,
Berkeley Heights, NJ 07922-1208

Ph: (201) 221-6161		Dr Nilesh Narendra Papaiya, OD
911 Oak Tree Ave Ste A1,
South Plainfield, NJ 07080-5130

Ph: (908) 822-1100

Reviews and Comments


Optometrist in South Plainfield, NJ

Dr. Jordan Robert Taylor, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 906 Oak Tree Ave Ste 1, South Plainfield, NJ 07080
Phone: 908-222-8700    
Dr. Ramanpreet Kang, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 906 Oak Tree Ave Ste 1, South Plainfield, NJ 07080
Phone: 908-514-4762    
Plainfield Eye Associates Pa
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4919 Stelton Road, South Plainfield, NJ 07080
Phone: 908-561-7474    Fax: 908-561-2614
Dr. Lior Koppel, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 911 Oak Tree Ave Ste C, South Plainfield, NJ 07080
Phone: 908-822-1100    Fax: 908-822-1102
Dr. Deepali Patel, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 906 Oak Tree Ave Ste I, South Plainfield, NJ 07080
Phone: 908-222-8700    
Dr. Douglas Goldstein, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4919 Stelton Rd, South Plainfield, NJ 07080
Phone: 609-561-7474    
Eyekrafters Optical
Optometrist
Medicare: Medicare Enrolled
Practice Location: 911 Oak Tree Ave Ste C, South Plainfield, NJ 07080
Phone: 908-822-1100    Fax: 908-822-1102

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.