Surendra R. Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

033320 Issued in NY

Practice address

48 E Kingsbridge Rd
Bronx, NY 10468-7514

Phone

(718) 933-9603

Fax

(718) 866-0337

NPI assigned

Oct 21, 2005

Last updated

Mar 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SRP Dental Care, P.C.

  • Dentist
  • Bronx, NY
  • NPI 1457525271
  NPD (past) Authorized official
• Broadway Dental

  • Dentist
  • Bronx, NY
  • NPI 1568843290
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1013907070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W CLARKSTOWN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567221",
            "telephone_number": "845-352-4405",
            "fax_number": "845-352-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687514",
            "telephone_number": "718-933-9603",
            "fax_number": "718-866-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SURENDRA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "033320",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 0013148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "033320",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00291350",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED. EMP. ID. #",
            "identifier": "11-2479388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shrujal Pragneshkumar Patel, MD
• Simran Patel, MD
• Subodh Gopaldas Patel, DDS
• Sudhirkumar Patel, PHARMACIST
• Sunny Patel, MD
• Sweta Patel
• Tushna Patel
• Udayan Patel, RPH
• Ujwal Patel
• Vaidehi Patel

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.