Active NPI 1417508391 Individual Practitioner Female Practitioner

Nirali Patel , PA-C

Physician Assistant • Ridgewood, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nirali Patel, PA-C is a certified Physician Assistant practicing in Ridgewood, NJ. With approximately 7 years of clinical experience since completing medical education in 2019, Nirali Patel delivers high-quality medical care to the local community at 85 S MAPLE AVE.

Nirali Patel is affiliated with Essen Medical Associates, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

85 S Maple Ave

Ridgewood, NJ 074504561

Telephone 2014452830

Fax 2014457471

Associated Practice Facility / Clinic

🏢 Ridgewood Orthopedic Group, Llc Facility NPI 1609815067

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ridgewood, NJ

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -1.9 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 10.1 Yrs

Regional Practice Density

30 Specialists

Practicing in Ridgewood, NJ (3413 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (7 Years) 7 Yrs

Ridgewood Specialty Average (8.9 Years) 8.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	49	15	$136.00	$85.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	62	31	$147.97	$89.47
99443 Telephone medical discussion with physician, 21-30 minutes	21	15	$213.95	$123.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	56	$255.00	$87.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$156.00	$55.26
20610 Aspiration and/or injection of fluid from large joint	26	22	$354.00	$74.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	11	$10.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$368.00	$123.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	96	$251.29	$86.08
20610 Aspiration and/or injection of fluid from large joint	79	70	$376.48	$69.66
J1030 Injection, methylprednisolone acetate, 40 mg	46	36	$26.09	$5.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$156.00	$54.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$361.36	$107.75
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	20	12	$1523.00	$1219.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$349.47	$124.17
23472 Prosthetic repair of shoulder joint, total shoulder	16	15	$20493.50	$222.19
85018 Blood count, hemoglobin	13	12	$20.00	$2.37
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$16547.27	$164.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	54	$190.00	$70.72
20610 Aspiration and/or injection of fluid from large joint	40	35	$698.75	$68.44
J1030 Injection, methylprednisolone acetate, 40 mg	27	21	$60.00	$5.82
85018 Blood count, hemoglobin	23	23	$20.00	$2.36
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	17	12	$1288.24	$1166.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$280.00	$103.70

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00532600

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Essen Medical Associates, Pc

2505 Grand Ave, Bronx, NY 104684206

Phone: 7182951400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Diana Zury , PA-C

Physician Assistant

NPI 1053888362

Physician Assistant (Certified)

Nicole Loprinzi , PA-C

Physician Assistant

NPI 1093383101

Physician Assistant (Certified)

Jennifer Ormsby , PA-C

Physician Assistant - Surgical

NPI 1093978793

Physician Assistant (Certified)

Dr. Randy Marrinan , MD

Physical Medicine & Rehabilitation

NPI 1104919109

Doctor of Medicine (M.D.)

Julie Chita , PT

Physical Therapist - Orthopedic

NPI 1225080294

Physical Therapist

Dr. Arnold Criscitiello , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1245233634

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 11, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2019

Registered at 85 S MAPLE AVE, RIDGEWOOD, NJ 074504561 (Tel: 2014452830)

📍

Updated Business Mailing Address October 11, 2019

Registered at 85 S MAPLE AVE, RIDGEWOOD, NJ 074504561 (Tel: 2014452830)

👤

Provider Name / Credentials Updated October 11, 2019

Recorded as NIRALI PATEL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Physician Assistant (License #25MP00532600 in NJ)

🟢

Initial NPI Registration & Enumeration September 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417508391

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 23, 2019

Last Update: October 11, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

85 S Maple Ave

Ridgewood, NJ 074504561

Phone: 2014452830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.