Individual provider Active NPI

Aneri Patel

  • Physician Assistant
  • Moonachie, NJ
National Provider Identifier
1003476680
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8A Henry Street
Apt, Suite, Floor, Etc.
Moonachie, NJ 07074-3825
Phone
(516) 728-1167
NPI assigned
Jun 17, 2019
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00533000 NJ
Physician Assistant 363A00000X NJ Primary

Addresses

Primary practice location

8A Henry Street
Apt, Suite, Floor, Etc.
Moonachie, NJ 07074-3825

Mailing address

8A Henry Street
Apt, Suite, Floor, Etc.
Moonachie, NJ 07074-3825
Phone (516) 728-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190828001019 NJ Practitioner - Physician Assistant 6901134006 Reassigns benefits to 4 organizations
I20201012000565 NY Practitioner - Physician Assistant 6901134006

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care of Paramus LLCGroup PAC ID 3971656018, 15 clinicians
The Doctors Office of Manalapan LLCGroup PAC ID 8022268069, 9 clinicians
Doctors Office of West Caldwell LLCGroup PAC ID 7416130448, 26 clinicians

Practice addresses (Care Compare)

110 E Ridgewood Ave
Paramus, NJ 07652-4025
Phone (201) 265-9500

120 Craig Rd
Manalapan, NJ 07726-3267
Phone (723) 414-2991

556 Passaic Ave
West Caldwell, NJ 07006-7449
Phone (973) 808-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00533000NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc CurrentSince Jul 29, 2019 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1003476680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8A HENRY STREET",
            "address_2": "APT, SUITE, FLOOR, ETC.",
            "city": "MOONACHIE",
            "state": "NJ",
            "postal_code": "070743825",
            "telephone_number": "516-728-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8A HENRY STREET",
            "address_2": "APT, SUITE, FLOOR, ETC.",
            "city": "MOONACHIE",
            "state": "NJ",
            "postal_code": "070743825",
            "telephone_number": "516-728-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00533000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moonachie, NJ

Sources for this page

Verify at the official NPI Registry.