Individual provider Active NPI

Hirali Patel, OD

  • Optometrist
  • Rockaway, NJ
National Provider Identifier
1003420852
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00698900 Issued in NJ
Practice address
343 Mount Hope Ave Ste 2
Rockaway, NJ 07866-1644
Phone
(973) 366-8144
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00698900 NJ Primary

Addresses

Primary practice location

343 Mount Hope Ave Ste 2
Rockaway, NJ 07866-1644

Mailing address

343 Mount Hope Ave Ste 2
Rockaway, NJ 07866-1644
Phone (973) 366-8144

Other practice location 1

10 North Village Blvd.
Suite B
Sparta, NJ 07871
Phone (073) 729-1181

Other practice location 2

1655 Oak Tree Rd
Edison, NJ 08820-2858
Phone (732) 494-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915000851 NJ Practitioner - Optometry 6901224815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peli Eyecare and AssociatesGroup PAC ID 4981024056, 3 clinicians

Practice addresses (Care Compare)

10 N Village Blvd
Suite C
Sparta, NJ 07871-3592
Phone (973) 729-1180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00698900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SP Eyecare of Sparta CurrentSince Jul 2, 2021 Accepting new patients
Peli Eyecare and Associates Optometrist CurrentSince Jul 2, 2021 Accepting new patients

Locations

343 Mount Hope Ave
Ste 2
Rockaway, NJ 07866
Phone (973) 366-1181

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1003420852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MOUNT HOPE AVE STE 2",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661644",
            "telephone_number": "973-366-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 MOUNT HOPE AVE STE 2",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661644",
            "telephone_number": "973-366-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 North Village Blvd.",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NJ",
            "postal_code": "07871",
            "country_code": "US",
            "telephone_number": "073-729-1181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 Oak Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202858",
            "country_code": "US",
            "telephone_number": "732-494-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIRALI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00698900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.