Individual provider Active NPI

Manish S Patel, MD

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1053418459
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA074156 Issued in NJ
Practice address
520 Westfield Ave
Suite 306
Elizabeth, NJ 07208-1658
Phone
(908) 994-1044
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 MA074156 NJ Primary

Addresses

Primary practice location

520 Westfield Ave
Suite 306
Elizabeth, NJ 07208-1658

Mailing address

15 Schoolhouse LN
Matawan, NJ 07747-3518
Phone (646) 645-6592

Other identifiers 1

IdentifierTypeStateIssuer
9125809MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000047 NJ Practitioner - Internal Medicine 9335172329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Virginia, LLCGroup PAC ID 1658280128, shared by 6 NPIs, 67 clinicians

Practice addresses (Care Compare)

320 W Main St
Covington, VA 24426-1517
Phone (540) 962-6226

520 Westfield Ave
Suite 306
Elizabeth, NJ 07208-1699
Phone (908) 994-1044

Hospital & facility affiliations

  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Elizabeth Nursing and Rehab Center Nursing home, Elizabeth, NJ, CCN 315106
  • Elmora Hills Health & Rehabilitation Center Nursing home, Elizabeth, NJ, CCN 315010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA074156NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manish Patel MD PC Internal Medicine CurrentSince May 20, 2003 Accepting new patients
TJH Medical Services, P.C. Internal Medicine Past Accepting new patients

Locations

1048 Grove St
Elizabeth, NJ 07202
Phone (732) 967-0100

520 Westfield Ave
Ste 306
Elizabeth, NJ 07208
Phone (732) 910-1134

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elizabeth Nursing and Rehab CenterElizabeth, NJ, CCN 315106 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2015
Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1053418459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SCHOOLHOUSE LN",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473518",
            "telephone_number": "646-645-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WESTFIELD AVE",
            "address_2": "SUITE 306",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081658",
            "telephone_number": "908-994-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA074156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9125809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.