DR. CARMELO PINGOL MD
NPI 1437135738
Psychiatry & Neurology - Psychiatry in Newark, NJ
NPI Status: Active since December 19, 2005
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
About CARMELO PINGOL
This page provides the complete NPI Profile along with additional information for Carmelo Pingol, a provider established in Newark, New Jersey with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1437135738 assigned on December 2005. The practitioner's primary taxonomy code is 2084P0800X with license number 25MA06244900 (NJ). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1437135738
- Provider Name
- DR. CARMELO PINGOL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1160 RAYMOND BLVD NEWARK, NJ 07102
- Location Phone
- (973) 596-3857
- Mailing Address
- 66 W GILBERT ST TINTON FALLS, NJ 07701
- Mailing Phone
- (732) 212-0060
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-19-2005
- Last Update Date
- 02-22-2008
- Code Navigator
A psychiatrist like Carmelo Pingol are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA06244900
- License State
- NJ
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G28501 | MEDICARE UPIN (02) | NJ | |
| 873725QDX | MEDICARE PIN (08) | NJ | |
| 873725 | MEDICARE ID-TYPE UNSPECIFIED (04) | NJ | |
| 6954201 | MEDICAID (05) | NJ | |
| 873725RW8 | MEDICARE PIN (08) | NJ |
Medicare Participation & PECOS Enrollment Status
Carmelo Pingol is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 130 times for 15 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $190.92
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $47.73
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $79.09
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $19.77
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 3 | 5 | 7 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 3 | 10 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 3 + 1 + 0 + 7 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1437135738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720072242 | DR. ROLANDO Y HONG MD Individual | Psychiatry & Neurology (Addiction Medicine) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3857 |
| 1164418240 | DR. CHIANG L LIN MD Individual | Psychiatry & Neurology (Psychiatry) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3857 |
| 1336114586 | DR. VADIM OYVIN MD Individual | Psychiatry & Neurology (Psychiatry) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3857 |
| 1821041294 | DR. NIRMALA S RAJAKUMAR MD Individual | Psychiatry & Neurology (Neurology) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3857 |
| 1255439287 | CATHOLIC COMMUNITY SERVICES MT CARMEL GUILD OF ARCH OF NEWARK Organization | Psychiatric Hospital | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-4103 |
| 1710063326 | MS. BARBARA O'HANLON MSW, LCSW Individual | Social Worker (Clinical) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-4112 |
| 1699851204 | MS. LUCILLE J BOYAJY Individual | Social Worker (Clinical) | 1160 RAYMOND BLVD 6TH FLOOR NEWARK, NJ 07102 (973) 596-4192 |
| 1356427322 | JACQUELIN A INFANTE LSW Individual | Social Worker | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-4031 |
| 1811074552 | MISS JOSEFINA MORALES-JIMENEZ MSW,LCSW Individual | Social Worker (Clinical) | 1160 RAYMOND BLVD 6TH FLOOR NEWARK, NJ 07102 (973) 639-6520 |
| 1962574061 | DEVORAH THOMAS-JAMES L.C.S.W. Individual | Social Worker (Clinical) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3975 |
| 1437221926 | MRS. MARGERY ALICE GRIMM DEFRANCO MA LRC Individual | Counselor (Mental Health) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3971 |
| 1073685632 | MS. JOSEFINA G VELEZ Individual | Dietitian, Registered | 1160 RAYMOND BLVD 4TH FLOOR NEWARK, NJ 07102 (973) 639-5017 |
| 1386710747 | MT. CARMEL GUILD ENGLE CENTER Organization | Community/Behavioral Health | 1160 RAYMOND BLVD NEWARK, NJ 07102 (976) 596-4100 |
| 1821166901 | NANCY THOMPSON CNS Individual | Registered Nurse (Psychiatric/Mental Health) | 1160 RAYMOND BLVD 5TH FLOOR NEWARK, NJ 07102 (973) 596-3952 |
| 1821150764 | SYLVIA IWUJI RN Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 1160 RAYMOND BLVD 6TH FLOOR NEWARK, NJ 07102 (973) 596-4114 |
| 1477607851 | DR. RAFAEL M TORTOSA-NACHER MD Individual | Psychiatry & Neurology (Neurology) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3857 |
| 1689712895 | DR. MARCELO VELAZQUEZ PH.D Individual | Counselor (Mental Health) | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 596-3925 |
| 1457491250 | MS. GARNNETTE D ALI RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 1160 RAYMOND BLVD 5TH FLOOR NEWARK, NJ 07102 (973) 596-4085 |
| 1104957968 | RENEE CHERYL WILLIAMS RN Individual | Registered Nurse | 1160 RAYMOND BLVD NEWARK, NJ 07102 (973) 639-5031 |
| 1972635712 | MS. MARISE CARRAHA RN Individual | Registered Nurse | 1160 RAYMOND BLVD 2ND FLOOR NEWARK, NJ 07102 (973) 596-3961 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437135738, enumerated in the NPI registry as an "individual" on December 19, 2005
The provider is located at 1160 Raymond Blvd Newark, Nj 07102 and the phone number is (973) 596-3857
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $190.92 with an average copayment of $47.73 for new patient appointments. Established patients should expect a typical charge of $79.09 and an average copayment of 19.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes.
This NPI record was last updated on December 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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