Individual provider Active NPI

Nancy Patel, APN

  • Family Nurse Practitioner
  • Somerville, NJ
National Provider Identifier
1033737515
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01066700 Issued in NJ
Practice address
46 E Main St
Somerville, NJ 08876-2339
Phone
(908) 458-8700
Fax
(908) 458-8701
NPI assigned
Jul 10, 2020
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 26NJ01066700 NJ Primary

Addresses

Primary practice location

46 E Main St
Somerville, NJ 08876-2339

Mailing address

72 Kensington Dr
Piscataway, NJ 08854-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT2 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
I20240109002813 NJ Practitioner - Nurse Practitioner 9436500915 Reassigns benefits to 1 organization
I20240527000141 CT Practitioner - Nurse Practitioner 9436500915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01066700NJMDFamily Nurse Practitioner
12883CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Somdocs CurrentSince Nov 29, 2023 Accepting new patients
Gaylord Hospital, Inc. CurrentSince May 6, 2024 Accepting new patients

Locations

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: nancy.patel@593314999828484.direct.elationemr.com

Organizations & group practices 2

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1033737515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KENSINGTON DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762339",
            "telephone_number": "908-458-8700",
            "fax_number": "908-458-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01066700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.