Active NPI
Tatyana Patel
- Clinical Social Worker
- Rio Grande, NJ
National Provider Identifier
1053762252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06495400
- Practice address
- 1127 NJ-47
Suite 9
Rio Grande, NJ 08210 - Phone
- (609) 486-2003
- NPI assigned
- Jun 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06495400 | NJ | Primary |
Addresses
Primary practice location
1127 NJ-47
Suite 9
Rio Grande, NJ 08210
Mailing address
2 Canterbury Way
Cape May Court House, NJ 08210-2824
Phone (609) 602-3652
Other practice location 1
2 Canterbury Way
Cape May Court House, NJ 08210-2824
Phone (609) 602-3652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06495400 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modra Health LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1053762252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CANTERBURY WAY",
"city": "CAPE MAY COURT HOUSE",
"state": "NJ",
"postal_code": "082102824",
"telephone_number": "609-602-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 NJ-47",
"address_2": "SUITE 9",
"city": "RIO GRANDE",
"state": "NJ",
"postal_code": "08210",
"telephone_number": "609-486-2003"
}
],
"practiceLocations": [
{
"address_1": "2 Canterbury Way",
"address_purpose": "LOCATION",
"city": "Cape May Court House",
"state": "NJ",
"postal_code": "082102824",
"country_code": "US",
"telephone_number": "609-602-3652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "TATYANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2025-07-15",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06495400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande, NJ
- William H Panico, DMD
- Heather Lynn Dagrosa Paparone, D.M.D.
- Mansi Parikh, PHARMD
- Bhargavi H. Patel
- Khyati Pravin Patel, D.C.
- Positive Impact Physical Therapy
- Qpharma Inc (AtlantiCare Urgent Care Rio Grande)
- Jillian Rauchut, PMHNP-BC
- Regenerative Medicine of South Jersey LLC (Active Spine and Joint Institute)
- Helen Margaret Renyo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.