Provider networks in New Jersey.
InPlan holds provider listings for 18 Medicare Advantage plans that serve New Jersey. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.
- MEDICARE ADVANTAGE PLANS
- 18
- PLAN YEARS
- 2027
- INSURERS AND PLAN ORGANIZATIONS
- 4
- LATEST READ
- 2026-10-29
What we hold in New Jersey.
Plans whose provider directories list providers in our data.
| MARKET | PLANS | INSURERS | PLAN YEARS | LATEST READ |
|---|---|---|---|---|
| Medicare Advantage | 18 | 4 | 2027 | 2026-10-29 |
How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.
Insurers in New Jersey.
Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.
| INSURER | MARKET | PLANS |
|---|---|---|
| Clover Health | Medicare Advantage | 8 |
| Devoted Health | Medicare Advantage | 6 |
| HealthSpring | Medicare Advantage | 2 |
| Jefferson Health Plans | Medicare Advantage | 2 |
Who the Medicare Advantage directories list.
More than 43,000 providers who practise in New Jersey appear in the Medicare Advantage plans we hold. The most common primary specialties among them:
- Nurse Practitioner5,272
- Clinical Social Worker3,618
- Internal Medicine3,113
- Dentist2,801
- Mental Health Counselor2,293
- Physician Assistant2,229
- Family Practice1,854
- Physical Therapist in Private Practice1,759
Specialties as the national provider registries record them. A provider counts once per specialty.
Example plans in New Jersey.
Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.
| PLAN | PLAN ID | YEAR | TYPE | PROVIDER-PLAN LINKS |
|---|---|---|---|---|
| HealthSpring True Choice (PPO)HealthSpring | H7849-149-000 | 2027 | Medicare AdvantagePPO | 373,995 |
| HealthSpring Preferred (HMO)HealthSpring | H3949-054-000 | 2027 | Medicare AdvantageHMO | 228,196 |
| Clover Health Choice (PPO)Clover Health | H5141-004-000 | 2027 | Medicare AdvantagePPO | 68,687 |
| Devoted C-SNP Choice Plus 003 NJ (PPO C-SNP)Devoted Health | H1390-003-000 | 2027 | Medicare AdvantagePPO C-SNP · Special Needs Plan | 36,876 |
| Clover Health Choice Value (PPO)Clover Health | H5141-007-000 | 2027 | Medicare AdvantagePPO | 68,687 |
A real New Jersey answer.
Svetlana Konstantinova, D.D, who practises in Elizabeth, is listed in H7849-149-000. This is the answer the API gives today for that pair, with its source type and the date we read the listing.
curl -H "Authorization: Bearer $INPLAN_KEY" \ "https://api.inplan.io/v1/check?npi=1003025503&plan_id=H7849-149-000"
{
"npi": "1003025503",
"plan_id": "H7849-149-000",
"market": "ma",
"in_network": true,
"answer": "listed",
"plan_year": 2027,
"source": { "type": "plan_directory", "as_of": "2026-10-29" }
}Svetlana Konstantinova, D.D
Dentist · Elizabeth, NJ
Listed
- PLAN
- HealthSpring True Choice (PPO)
- INSURER
- HealthSpring
- MARKET
- Medicare Advantage, plan year 2027
- PLAN TYPE
- PPO
- SOURCE
- plan_directory · read 2026-10-29
Every New Jersey provider, with every plan that lists them.
The New Jersey data file is one CSV: one row for each provider and plan pair, for every provider practising in New Jersey, with the source type and read date on each row.
Check New Jersey providers in your own product.
Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.
Other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Puerto Rico
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries. InPlan is independent and not affiliated with any insurer named here.