NPIMap

Individual provider Active NPI

Sizan B Patel, M.D.

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1043655368
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09802300 Issued in NJ
Practice address
9 Hospital Dr Ste B1
Toms River, NJ 08755-6425
Phone
(732) 363-7200
Fax
(866) 662-4129
NPI assigned
Apr 30, 2013
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09802300 NJ Primary

Addresses

Primary practice location

9 Hospital Dr Ste B1
Toms River, NJ 08755-6425

Mailing address

9 Hospital Dr Ste B1
Toms River, NJ 08755-6425
Phone (732) 363-7200

Other identifiers 2

IdentifierTypeStateIssuer
2797003MedicaidNJ
0524280MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000883 NJ Practitioner - Internal Medicine 7618268707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoremedical5 LLCGroup PAC ID 2769736537, 6 clinicians
Shore Medical SpecialistsGroup PAC ID 2062433030, 6 clinicians

Practice addresses (Care Compare)

1351 Old Freehold Rd
Bay Lea
Toms River, NJ 08753-2775
Phone (732) 363-7200

14 Hospital Dr
Toms River, NJ 08755-6402
Phone (732) 363-7200

1594 Route 88
Brick, NJ 08724-3073
Phone (732) 363-7200

2018 State Route 35
Spring Lake, NJ 07762-2522
Phone (732) 363-7200

52 Madison Ave
Ofc 1
Lakewood, NJ 08701-3354
Phone (732) 363-7200

600 River Ave
Lakewood, NJ 08701-5237
Phone (732) 363-7200

9 Hospital Dr
Suite B1
Toms River, NJ 08755-6425
Phone (732) 363-7200

99 Route 37 W
Community Med CNTR
Toms River, NJ 08755-6423
Phone (732) 363-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Medical Specialists Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Shoremedical5 LLC Internal Medicine CurrentSince Dec 15, 2018 Accepting new patients
Community Medical Center Inc Past Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients

Locations

500 River Ave
Ste 140
Lakewood, NJ 08701
Phone (732) 363-0720

9 Hospital Dr
Ste B1
Toms River, NJ 08755
Phone (732) 349-2732

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1043655368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-363-7200",
            "fax_number": "732-367-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-363-7200",
            "fax_number": "866-662-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SIZAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09802300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2797003",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524280",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.