DR. NILESH NARENDRA PAPAIYA (O.D.) – Optometrist, NPI 1649337809

DR. NILESH NARENDRA PAPAIYA (O.D.) is a healthcare provider. based in Edgewater, New Jersey. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 27TO00139201 (NJ). The NPI Number for DR. NILESH NARENDRA PAPAIYA (O.D.) is 1649337809

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. NILESH NARENDRA PAPAIYA (O.D.)
NPI
1649337809
Phone
(201) 340-6406
Address
75 RIVER RD
Enumeration Date
3 January 2007
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
9736242090
Graduation Year
2005 (21 years ago)
PAC ID
3173697141
Group Practice PAC ID
7315125184
Professional Enrollment ID
I20080808000612
Address ID
NJ071022923NE17XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,048 OPTOMETRY in NJ

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Provider Addresses for DR. NILESH NARENDRA PAPAIYA (O.D.)

  • Moe's Southwest Grill, 75, River Road, Edgewater, Bergen County, New Jersey, 07020, United States

    SUITE 210

    EDGEWATER, NJ 070201073

    Phone: (201) 340-6406

    Fax: (201) 340-6407

    Type: Mailing

  • 153 Robbins Ave

    Berkeley Heights, NJ 079221208

    Phone: (201) 221-6161

    Type: Location

  • 154 NJ 10

    4B

    East Hanover, NJ 07936

    Phone: (973) 887-0216

    Type: Location

  • 153 ROBBINS AVE

    BERKELEY HEIGHTS, NJ 079221208

    Phone: (201) 221-6161

    Type: Mailing

  • 911 OAK TREE AVE STE A1

    SOUTH PLAINFIELD, NJ 070805130

    Phone: (908) 822-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $213.

Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($81).

Total Amount

$213

General + Research + Ownership

Payments

8

Total payment records

General Amount

$213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080808000612IOptometryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system508501$0
92250Photography of the retina295294$0
92004New patient complete exam of visual system241240$0
92012Established patient problem focused exam of visual system2219$0
92285Photography of content of eyes1818$0
View full utilization report →

Insurance plans in this area (ZIP 07020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315125184View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
-NJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
-NJ
O P T O M E T R YNJ

Reviews

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Frequently asked questions

Can I cross-check DR. NILESH NARENDRA PAPAIYA (O.D.) using NPI 1649337809?
NPI 1649337809 belongs to DR. NILESH NARENDRA PAPAIYA (O.D.); compare other details if you need extra assurance.
Would DR. NILESH NARENDRA PAPAIYA (O.D.) appear as active to a payer?
You can treat DR. NILESH NARENDRA PAPAIYA (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. NILESH NARENDRA PAPAIYA (O.D.)?
DR. NILESH NARENDRA PAPAIYA (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. NILESH NARENDRA PAPAIYA (O.D.) associated with Edgewater?
Public fields place DR. NILESH NARENDRA PAPAIYA (O.D.) around Edgewater, New Jersey. Always confirm the exact site before visiting.
Does DR. NILESH NARENDRA PAPAIYA (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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