NPPES file of Aug 9, 2026

Nikunjkumar Patel

Endocrinology, Diabetes & Metabolism Physician · Toms River, NJ

Nikunjkumar Patel is an endocrinology, diabetes & metabolism physician with a practice address in Toms River, New Jersey, and NPI 1174039309, issued on Dec 26, 2017. Check the license (New Jersey 25MA10366100, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174039309
Name
Nikunjkumar Patel
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License number
25MA10366100 NJ
Self-reported in NPPES; status is on the state search
Practice location
99 Rte 37 W, Toms River, NJ 08755
Phone
(732) 781-6428
Enumerated
Dec 26, 2017
Record last updated
Jul 7, 2023
Medicare enrollment
Enrolled (PECOS I20180613001341); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 99 Rte 37 W

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. William Boateng, MDInternal Medicine Physician1265181523
  2. Merritt Brown, M.D.Neurology Physician1043500614
  3. Lauren Campisano, PAMedical Physician Assistant1104316934
  4. Eileen DonnellyFamily Nurse Practitioner1467811026
  5. Ariel Easton, RDRegistered Dietitian1861279416
  6. Nicholas Flores, DNP, CRNACertified Registered Nurse Anesthetist1164996351

Verify Nikunjkumar Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA10366100
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

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6% fewer Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024

2,478 Medicare Part D claims for 485 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 54% of claims.

  1. Nikunjkumar Patel2,478
  2. Specialty average2,630

Most prescribed

  1. Ozempic359 claims
  2. Levothyroxine Sodium262 claims
  3. Lantus Solostar195 claims
  4. Nano 2nd Gen Pen Needle187 claims
  5. Metformin Hcl166 claims
  6. Humalog Kwikpen U-10084 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $2,053.00

89 payments; by number, the most common kind was food and beverage; the largest payer was Becton, Dickinson and Company. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nikunjkumar Patel$2,053.00
  2. Specialty average$5,742.15

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Barnabas Health Medical Group PCLong Branch, NJ
  2. Oceans Prime Diabetes And Endocrinology LLCToms River, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nikunjkumar Patel among 417 endocrinology, diabetes & metabolism physician records in New Jersey

Nikunjkumar Patel is one of 417 endocrinology, diabetes & metabolism physician records with a practice address in New Jersey. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 85% of them.

  • NPI issued2017 · 85% of these records are older, 11% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2010 · median 2006 among the 313 with a school on file
  • Record last updated2023 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in New Jersey

There are 417 endocrinology, diabetes & metabolism physician records in New Jersey.

The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes

  1. Paula Imai, APRN-BC, CDEToms River, NJ 087551326298993
  2. Shivani Patel, MDToms River, NJ 087551831659580
  3. Priya Sahay, M.D.Toms River, NJ 087551255781548
  4. Leslie Taguba-Madrid, MDToms River, NJ 087551801885389
  5. Joseph Birnbaum, MDToms River, NJ 087531669417788
  6. Ahmet Can, M.D.Toms River, NJ 087531518214626
  7. David Kleinman, MDToms River, NJ 087531639123755
  8. Joseph Rodriguez, M.D.Toms River, NJ 087531164594990

Common questions

What is Nikunjkumar Patel's NPI number?

Nikunjkumar Patel's National Provider Identifier (NPI) is 1174039309, issued on Dec 26, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Nikunjkumar Patel located?

The NPPES record lists a practice address at 99 Rte 37 W, Toms River, NJ, 08755. Phone: (732) 781-6428. Providers update this record themselves, so call before visiting.

How can I verify Nikunjkumar Patel's license?

NPPES lists New Jersey license number 25MA10366100, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nikunjkumar Patel prescribe under Medicare Part D?

In 2024, Nikunjkumar Patel had 2,478 Medicare Part D claims for 485 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.