Individual provider Active NPI

Palakkumar Kantilal Patel, M.D.

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1053559427
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09556300 Issued in NJ
Practice address
662 Commons Way BLDG I4
Toms River, NJ 08755-6431
Phone
(732) 279-3681
Fax
(732) 279-6043
NPI assigned
Jan 23, 2009
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09556300 NJ Primary
Internal Medicine Physician 207R00000X MD437785 PA
Hospitalist Physician 208M00000X 25MA09556300 NJ

Addresses

Primary practice location

662 Commons Way BLDG I4
Toms River, NJ 08755-6431

Mailing address

662 Commons Way BLDG I4
Toms River, NJ 08755-6431
Phone (732) 279-3681

Other identifiers 3

IdentifierTypeStateIssuer
0448664MedicaidNJ
102341647MedicaidPA
03133479MedicaidNY

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
I20150211000266 NJ Practitioner - Internal Medicine 7517012446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

662 Commons Way
BLDG I4
Toms River, NJ 08755-6431
Phone (732) 279-3681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD437785PAMDInternal Medicine Physician
25MA09556300NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Primary Care LLC CurrentSince Oct 1, 2016 Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

662 Commons Way
Bldg I4
Toms River, NJ 08755
Phone (732) 279-3681

780 Route 37 W
Ste 220
Toms River, NJ 08755
Phone (732) 235-6333

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.

Hospital & facility affiliations 4

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": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1053559427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 COMMONS WAY BLDG I4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431",
            "telephone_number": "732-279-3681",
            "fax_number": "732-279-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 COMMONS WAY BLDG I4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431",
            "telephone_number": "732-279-3681",
            "fax_number": "732-279-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PALAKKUMAR",
        "middle_name": "KANTILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09556300",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD437785",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA09556300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448664",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102341647",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03133479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.