NPIMap

Organization Active NPI

Harsh Patel DPM PA

  • Podiatrist
  • Woodbury Heights, NJ
National Provider Identifier
1013453836
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HARSH PATEL DPM PA
Practice address
19 Maple Ave Ste a
Woodbury Heights, NJ 08097-1128
Phone
(856) 384-1333
Fax
(856) 384-1297
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dr. Harsh P. Patel, DPMNPI 1811336522
Title
First Board of Directors
Phone
(856) 384-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X NJ Primary

Addresses

Primary practice location

19 Maple Ave Ste a
Woodbury Heights, NJ 08097-1128

Mailing address

19 Maple Ave Ste a
Woodbury Heights, NJ 08097-1128
Phone (856) 384-1333

Other identifiers 1

IdentifierTypeStateIssuer
7649110001OtherMEDICARE NSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170601000012 NJ Part B Supplier - Clinic/Group Practice 7214204916 Receives reassigned benefits from 12 practitioners
Practice locations: Woodbury Heights, NJ; Voorhees, NJ; Turnersville, NJ; Haddon Heights, NJ; Pine Hill, NJ
O20180207003075 NJ DME Supplier - Physician - Podiatry 7214204916 Practice locations: Woodbury Heights, NJ

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Harsh Patel DPM PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

315 Broad St
Florence, NJ 08518
Phone (609) 499-1181

254 Cranbury Half Acre Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 800-3668

4991 Route 42
Ste 8A
Turnersville, NJ 08012
Phone (856) 384-1333

19 Maple Ave
#A
Woodbury Heights, NJ 08097
Phone (856) 384-1333

19 Maple Ave
Woodbury Heights, NJ 08097
Phone (856) 384-1333

995 Jaymor Rd
Unit 4
Southampton, PA 18966

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1013453836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MAPLE AVE STE A",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971128",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MAPLE AVE STE A",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971128",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARSH PATEL DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "FIRST BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "856-384-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7649110001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.