Dr Purificacion F Tumbaga, MD - Medicare Pediatrics in Edison, NJ

Dr Purificacion F Tumbaga, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Edison, New Jersey. Her current practice location is 65 James St, Edison, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 321-7000.

Dr Purificacion F Tumbaga is licensed to practice in New Jersey (license number MA075468) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912970195.

Contact Information

Dr Purificacion F Tumbaga, MD
65 James St,
Edison, NJ 08820-3947
(732) 321-7000
Not Available

Map and Direction




Physician's Profile

Full NameDr Purificacion F Tumbaga
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location65 James St, Edison, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912970195
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688756745
  • Enrollment ID: I20080128000711

Medical Identifiers

Medical identifiers for Dr Purificacion F Tumbaga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912970195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine A55443 (California)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MA075468 (New Jersey)Primary

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 Purificacion F Tumbaga allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232
Entity NameChildren's Hospital Of Orange County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275975104
PECOS PAC ID: 6406944883
Enrollment ID: O20181213000428

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 Purificacion F Tumbaga 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 Purificacion F Tumbaga, MD
3600 Route 66 Fl 3,
Neptune, NJ 07753-2645

Ph: () -
Dr Purificacion F Tumbaga, MD
65 James St,
Edison, NJ 08820-3947

Ph: (732) 321-7000

Reviews and Comments


Pediatrics Doctors in Edison, NJ

Dr. Bina Kapila, M.D
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Dr. Alan Salas, M.D.
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Phone: 732-321-7000    Fax: 732-906-4906
Margarette R. Pierre, MD
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Dr. Elana F. Altzman, M.D.
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Practice Location: 65 James St, Edison, NJ 08820
Phone: 732-321-7010    Fax: 732-744-5873
Kavitha Velicheti, MD
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Practice Location: 65 James St, Edison, NJ 08818
Phone: 732-321-7010    Fax: 732-744-5873
Dr. Vrunda Patel,
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Practice Location: 2 State Route 27 Ste 500, Edison, NJ 08820
Phone: 732-516-9868    
Paula Estefania Lopez-perez, MD
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Medicare: Medicare Enrolled
Practice Location: 65 James St, Edison, NJ 08820
Phone: 856-782-2212    Fax: 856-782-2266

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).

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