Hetal Rathod, APN
NPI 1952991176 · Family Nurse Practitioner · Somerville, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hetal Rathod, APN is a Family Nurse Practitioner provider in Somerville, NJ (NPI 1952991176).
Provider details
- NPI number
- 1952991176
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NJ01084600 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,876 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 842 | $68 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 335 | $68 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 320 | $37 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 168 | $121 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 62 | $98 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 67 | 14 |
| Furosemide | 56 | 13 |
| Oxycodone Hcl | 31 | — |
| Sitagliptin Phosphatebrand: Januvia | 26 | — |
| Pantoprazole Sodium | 26 | — |
| Alprazolam | 19 | — |
| Metoprolol Succinate | 18 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Frequently asked questions
- What is Hetal Rathod's NPI number?
- Hetal Rathod's National Provider Identifier (NPI) is 1952991176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hetal Rathod's specialty?
- Hetal Rathod is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Hetal Rathod located?
- Hetal Rathod's practice location on file with NPPES is 110 Rehill Ave, Somerville, NJ 08876-2519.
- What is Hetal Rathod's phone number?
- The practice phone number listed in the NPPES registry for Hetal Rathod is (732) 586-9035.
- Does Hetal Rathod accept Medicare?
- Hetal Rathod is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hetal Rathod's NPI active?
- Yes — Hetal Rathod's NPI (1952991176) is active in the NPPES registry as of the last update on 2021-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.