Organization Active NPI

Rushita Patel Medical PLLC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1033773189
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUSHITA PATEL MEDICAL PLLC
Practice address
1835 Bay Ridge Pkwy
Brooklyn, NY 11204-5706
Phone
(718) 236-6025
Fax
(718) 236-6391
NPI assigned
Apr 24, 2019
Organization subpart
Yes
Parent organization
RUSHITA PATEL MEDICAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Dr. Rushita H Patel, MDNPI 1588868749
Title
Owner
Phone
(718) 236-6025

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1835 Bay Ridge Pkwy
Brooklyn, NY 11204-5706

Mailing address

1835 Bay Ridge Pkwy
Brooklyn, NY 11204-5706
Phone (718) 236-6025

Other identifiers 2

IdentifierTypeStateIssuer
03053490MedicaidNY
242719-A15OtherNYHEALTHFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190702001431 NY Part B Supplier - Clinic/Group Practice 7618201294 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Part of
Rushita Patel Medical PLLC

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1033773189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-236-6025",
            "fax_number": "718-236-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-236-6025",
            "fax_number": "718-236-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHITA PATEL MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSHITA PATEL MEDICAL PLLC",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUSHITA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-236-6025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03053490",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "242719-A15",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.