Kespra Medical Center LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

25MA08345000 Issued in NJ

Legal business name

KESPRA MEDICAL CENTER LLC

Practice address

22, Meridian Rd Unit 10
Edison, NJ 08820-3144

Phone

(732) 243-9808

Fax

(732) 791-5765

NPI assigned

Feb 15, 2011

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pulin H Patel, MDNPI 1063535664

Title

MD/President

Phone

(732) 243-9808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pulin H Patel, M.D.

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1063535664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1043517857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MERIDIAN RD UNIT 10",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202848",
            "telephone_number": "732-243-9808",
            "fax_number": "732-791-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22, MERIDIAN RD UNIT 10",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203144",
            "telephone_number": "732-243-9808",
            "fax_number": "732-791-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESPRA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PULIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "732-243-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "25MA08345000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Edison, NJ
• Providers in Edison, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.