Individual provider

Tolga Kapusuz, M.D.

Pain Medicine Physician Anesthesiology Physician Medicare enrolled

Tolga Kapusuz, M.D. is a Pain Medicine Physician in South Plainfield, NJ, registered under NPI 1316919004. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 285 DURHAM AVE STE 1A, South Plainfield, NJ 07080. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

285 DURHAM AVE STE 1A, South Plainfield, NJ 07080 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
225264 NY Pain Medicine Physician primary
225264-1 NY Anesthesiology Physician

This provider holds licence 225264 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Anesthesiology
PAC ID
9234161118

Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pain Medicine covers

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. NUCC Health Care Provider Taxonomy, code 208VP0000X
Allopathic & Osteopathic Physicians Pain Medicine Pain Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208VP0000X Pain Medicine Physician Pain Medicine 225264 NY primary
207L00000X Anesthesiology Physician 225264-1 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1316919004 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 6, 2006
Last updatedOct 31, 2017
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 285 DURHAM AVE STE 1A
South Plainfield, NJ 07080
(732) 338-0228
Fax (908) 941-5963
Other identifiers 02374252 (NY)
This record was last updated on Oct 31, 2017, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1316919004 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 1 6 9 1 9 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 2 6 9 1 9 0 0

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1316919004?
NPI 1316919004 is the National Provider Identifier assigned to Tolga Kapusuz, M.D. in South Plainfield, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pain Medicine cover?
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A…
How do I contact Tolga Kapusuz, M.D.?
The phone number on file with NPPES is (732) 338-0228, last updated Oct 31, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tolga Kapusuz, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1316919004 a valid number?
Yes. 1316919004 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.