Dr Jules Plafker, MD - Medicare Pathology in Newark, NJ

Dr Jules Plafker, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Newark, New Jersey. He went to State University Of New York Downstate Medical Center and graduated in 1964 and has 60 years of diverse experience with area of expertise as Pathology. He is a member of the group practice University Physician Associates Of New Jersey Inc and his current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 926-7307.

Dr Jules Plafker is licensed to practice in New Jersey (license number 25MA02573400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982647780.

Contact Information

Dr Jules Plafker, MD
201 Lyons Ave,
Newark, NJ 07112-2027
(973) 926-7307
Not Available

Map and Direction




Physician's Profile

Full NameDr Jules Plafker
GenderMale
SpecialityPathology
Experience60 Years
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jules Plafker attended and graduated from State University Of New York Downstate Medical Center in 1964
  NPI Data:
  • NPI Number: 1982647780
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 08/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577533611
  • Enrollment ID: I20040727001496

Medical Identifiers

Medical identifiers for Dr Jules Plafker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982647780NPI-NPPES
6926002MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25MA02573400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jersey City Medical CenterJersey city, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Physician Associates Of New Jersey Inc9830003417320

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jules Plafker allows following entities to bill medicare on his behalf.
Entity NameRutgers Health-rwj Pathology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538173539
PECOS PAC ID: 8921090663
Enrollment ID: O20040401000743
Entity NameUniversity Physician Associates Of New Jersey Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871503474
PECOS PAC ID: 9830003417
Enrollment ID: O20040427001102
Entity NameRutgers Health-rwj Pediatric Critical Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780766527
PECOS PAC ID: 1355390287
Enrollment ID: O20050119000070

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jules Plafker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jules Plafker, MD
19 Redcoat Dr,
East Brunswick, NJ 08816-2758

Ph: (732) 257-4109
Dr Jules Plafker, MD
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (973) 926-7307

Reviews and Comments


Pathology Doctors in Newark, NJ

Dr. Jie-gen Jiang, MD
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Phone: 973-972-4083    Fax: 973-972-5909
Xinlai Sun, MD
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Stanley Cohen, M.D.
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George P. Studzinski, M.D.
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Seena Carol Aisner, M.D.
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Phone: 973-972-0037    
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Medicare: Medicare Enrolled
Practice Location: 150 Bergen St, Newark, NJ 07103
Phone: 973-972-4770    Fax: 973-972-5933
Fermina M Mazzella, MD
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Medicare: Medicare Enrolled
Practice Location: 150 Bergen St, Room C-102, Newark, NJ 07103
Phone: 973-972-4619    Fax: 973-972-3199

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.