Individual provider Active NPI

Dhenu Bharatkumar Patel, FNP

  • Family Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1013678804
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01271100 Issued in NJ
Practice address
1 Riverview PLZ
Red Bank, NJ 07701-1872
Phone
(732) 741-2700
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01271100 NJ Primary

Addresses

Primary practice location

1 Riverview PLZ
Red Bank, NJ 07701-1872

Mailing address

30 Raynor Ave
North Middletown, NJ 07748-5373
Phone (732) 337-7419

Other practice location 1

831 Tennent Rd Ste 1E
Manalapan, NJ 07726-8288
Phone (732) 851-4700

Other practice location 2

2 Hospital Plz Ste 450
Old Bridge, NJ 08857-3154
Phone (732) 416-6915

Other practice location 3

901 W Main St Ste 260
Freehold, NJ 07728-2537
Phone (732) 851-4700

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003000062 NJ Practitioner - Nurse Practitioner 0143609560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

831 Tennent Rd
Suite 1E
Manalapan, NJ 07726-8288
Phone (732) 851-0200

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01271100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA CurrentSince May 1, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Centrastate Cardiology PC CurrentSince Apr 6, 2024 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 260
Freehold, NJ 07728
Phone (732) 851-4700

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

831 Tennent Rd
Ste 1E
Manalapan, NJ 07726
Phone (732) 851-0200

831 Tennent Rd
Ste 1F
Manalapan, NJ 07726
Phone (732) 294-7012

831 Tennent Rd
Manalapan, NJ 07726
Phone (732) 536-7144

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

2 Hospital Plz
Ste 450
Old Bridge, NJ 08857
Phone (732) 416-6915

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Interoperability endpoints

  • Direct secure messaging: dpatel528738@direct.ahsys.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDDECA/Endpoint/IDDECA

Organizations & group practices 3

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1013678804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RAYNOR AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485373",
            "telephone_number": "732-337-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011872",
            "telephone_number": "732-741-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Tennent Rd Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077268288",
            "country_code": "US",
            "telephone_number": "732-851-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hospital Plz Ste 450",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573154",
            "country_code": "US",
            "telephone_number": "732-416-6915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 W Main St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282537",
            "country_code": "US",
            "telephone_number": "732-851-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHENU",
        "middle_name": "BHARATKUMAR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01271100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.