Neil Ninan, M.D.
NPI 1689970790 · Pulmonary Disease Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Neil Ninan, M.D. is a Pulmonary Disease Physician provider in Toms River, NJ (NPI 1689970790).
Provider details
- NPI number
- 1689970790
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2011-00266 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
80 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 65 | $213 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $90 |
Typical Medicare-allowed amounts for these services range $90–$213 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$271 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 200 Wyckoff Rd Ste 1400Eatontown, NJ 07724-1928Phone: (732) 818-3820Fax: (732) 818-3811
Registry dates
- Enumerated
- 2011-02-07
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Frequently asked questions
- What is Neil Ninan's NPI number?
- Neil Ninan's National Provider Identifier (NPI) is 1689970790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Neil Ninan's specialty?
- Neil Ninan is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Neil Ninan located?
- Neil Ninan's practice location on file with NPPES is 67 Rte 37 W Fl 3, Toms River, NJ 08755-6400.
- What is Neil Ninan's phone number?
- The practice phone number listed in the NPPES registry for Neil Ninan is (732) 557-8000.
- Does Neil Ninan accept Medicare?
- Neil Ninan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Neil Ninan's NPI active?
- Yes — Neil Ninan's NPI (1689970790) is active in the NPPES registry as of the last update on 2024-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.