Provider profile

Nikunjkumar Patel

Internal Medicine, Endocrinology, Diabetes & Metabolism

NPI 1174039309
99 Rte 37 W, Toms River, NJ 08755732-781-6428

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Medicare Advantage plans for Ocean County, NJ.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 40 Medicare Advantage plans we show for Ocean County, NJ in 2027

  • 21 list Nikunjkumar
  • 19 not listed

Aetna Medicare

9 plans list Nikunjkumar; not listed on 1 other plan.

9plans
  • Aetna Medicare Eagle Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Ste BBR3, Long Branch, NJ, 07740

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3152-045-000Medicare.gov
    $0a month
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Ste BBR3, Long Branch, NJ, 07740

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-504-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Ste BBR3, Long Branch, NJ, 07740

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3152-082-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Ste BBR3, Long Branch, NJ, 07740

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-123-000Medicare.gov
    $65a month

Clover Health

4 plans list Nikunjkumar.

4plans
  • Clover Health Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 300 2nd Ave, # 3, Long Branch, NJ, 07740
    • 300 Second Ave Bbr3, Richmond, TX, 77406

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-032-000Medicare.gov
    $0a month
  • Clover Health Choice Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 300 2nd Ave, # 3, Long Branch, NJ, 07740
    • 300 Second Ave Bbr3, Richmond, TX, 77406

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-054-000Medicare.gov
    $0a month
  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 300 2nd Ave, # 3, Long Branch, NJ, 07740
    • 300 Second Ave Bbr3, Richmond, TX, 77406

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage5 starsH5141-061-000Medicare.gov
    $0a month
  • Clover Health Choice Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 300 2nd Ave, # 3, Long Branch, NJ, 07740
    • 300 Second Ave Bbr3, Richmond, TX, 77406

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-042-000Medicare.gov
    $36.30a month

Wellcare

3 plans list Nikunjkumar.

3plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-015-000Medicare.gov
    $0a month
  • Wellcare Low Premium (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-002-000Medicare.gov
    $35a month
  • Wellcare Fidelis Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH0913-013-000Medicare.gov
    $28.40a month

Wellpoint

2 plans list Nikunjkumar.

2plans
  • Wellpoint Kidney Care (HMO-POS C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Toms River, NJ, 08753
    • 1314 Hooper Ave, Toms River, NJ, 08753
    • 300 2nd Ave, Long Branch, NJ, 07740

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with certain chronic conditionsDrug coverage3 starsH3240-017-000Medicare.gov
    $0a month
  • Wellpoint Full Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Toms River, NJ, 08753
    • 1314 Hooper Ave, Toms River, NJ, 08753
    • 300 2nd Ave, Long Branch, NJ, 07740

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3240-013-000Medicare.gov
    $30.70a month

AmeriHealth

1 plan lists Nikunjkumar.

1plan
  • AmeriHealth Medicare Classic Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103/105, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 1925 Pacific Ave, Atlantic City, NJ, 08401

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverageH6407-002-000Medicare.gov
    $0a month

Horizon Blue Cross Blue Shield of New Jersey

1 plan lists Nikunjkumar.

1plan
  • Horizon NJ TotalCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103, Toms River, NJ, 08753
    • 99 Route 37 W, Toms River, NJ, 08755
    • 1140 Route 72 W, Manahawkin, NJ, 08050
    • 300 2nd Ave, # BBR3, Long Branch, NJ, 07740
    • 300 2nd Ave, Long Branch, NJ, 07740

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH8298-001-000Medicare.gov
    $36.30a month

UnitedHealthcare

1 plan lists Nikunjkumar; not listed on 10 other plans.

1plan
  • UHC Dual Complete NJ-Y001 (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 40 Bey Lea Rd, Ste B101, Toms River, NJ, 08753
    • 1314 Hooper Ave, Ste 103, Toms River, NJ, 08753

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3113-005-000Medicare.gov
    $4.10a month

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

Humana

Not listed on its 2 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Nikunjkumar takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

99 Rte 37 W
Toms River, NJ 08755

NPI Registry
NPI issued
2017
Registry record updated
Jul 7, 2023

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Nikunjkumar Patel?

In Ocean County, NJ, 21 Medicare Advantage plans for 2027 list Nikunjkumar in provider data from Medicare.gov or the carrier, including Aetna Medicare Eagle Giveback (HMO), Aetna Medicare Eagle Giveback (PPO) and Aetna Medicare Signature Extra (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Nikunjkumar Patel take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Nikunjkumar on 9 Medicare Advantage plans for 2027 in Ocean County, NJ, including Aetna Medicare Eagle Giveback (HMO) and Aetna Medicare Eagle Giveback (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Nikunjkumar Patel take Clover Health Medicare Advantage plans?

Medicare.gov provider data lists Nikunjkumar on 4 Medicare Advantage plans for 2027 in Ocean County, NJ, including Clover Health Choice (PPO) and Clover Health Choice Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Clover Health before you enroll.

Does Nikunjkumar Patel take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists Nikunjkumar on 3 Medicare Advantage plans for 2027 in Ocean County, NJ, including Wellcare Assist (HMO-POS) and Wellcare Low Premium (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Where does Nikunjkumar Patel practice?

99 Rte 37 W, Toms River, NJ 08755.

How do I confirm Nikunjkumar is in my plan's network?

Call the member services number on your plan card and give them the NPI 1174039309, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Nikunjkumar's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Nikunjkumar Patel on 8 plans from Devoted and Humana in Ocean County, NJ. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2023-07-07). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Nikunjkumar Patel or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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