Individual provider Active NPI

Rajesh Manharbhai Patel, M.D

  • Addiction Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1003908005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
215756 Issued in NY
Practice address
1276 Fulton Ave
Bronx, NY 10456-3402
Phone
(718) 901-8222
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 215756 NY Primary

Addresses

Primary practice location

1276 Fulton Ave
Bronx, NY 10456-3402

Mailing address

1466 Ratzer Rd
Wayne, NJ 07470-2430
Phone (973) 720-0755

Other identifiers 1

IdentifierTypeStateIssuer
02074546MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070828000308 NJ Practitioner - Psychiatry 9830281427 Reassigns benefits to 2 organizations
I20110311000196 NY Practitioner - Psychiatry 9830281427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians
Life Excel, LLCGroup PAC ID 8729057583, 4 clinicians

Practice addresses (Care Compare)

1265 Franklin Ave
Bronx, NY 10456-3501

1276 Fulton Ave
Bronx, NY 10456-3402

1650 Grand Concourse
Bronx, NY 10457-7606

35 Beaverson Blvd
1D
Brick, NJ 08723-7854
Phone (732) 920-7933

Hospital & facility affiliations

  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215756NYMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Psychiatry, PC CurrentSince Oct 1, 2024 Accepting new patients
Wayne Behavioral Service, LLC CurrentSince Feb 6, 2019 Accepting new patients
Life Excel, LLC CurrentSince Dec 18, 2017 Accepting new patients
Bronxcare Health System CurrentSince Jan 1, 2015 Accepting new patients
Kurra Associates PA PastSince Sep 1, 2016 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

35 Beaverson Blvd
Ste 1D
Brick, NJ 08723
Phone (732) 920-7932

401 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 790-9222

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911

514 Haight Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003908005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 RATZER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702430",
            "telephone_number": "973-720-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-901-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJESH",
        "middle_name": "MANHARBHAI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "215756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.