Mamta A Patel, APN FNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00930900 Issued in NJ

Practice address

680 Darmody Ave
North Brunswick, NJ 08902-0890

Phone

(732) 429-2316

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mamta R Patel Professional name

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpatel536068@direct.ahsys.org

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.

• Patient Care Medical Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodbury, NJ
  • NPI 1891362364

  NJ

  Medicare reassignment Care Compare group NPD
• Affiliated Primary Care Associates II

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1992663090

  NJ

  Medicare reassignment NPD
• Physiatrists of New Jersey

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
  • NPI 1740723428

  NJ

  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NJ

  Medicare reassignment NPD
• Mattoo Pediatrics

  • Primary Care Clinic/Center
  • Plainfield, NJ
  • NPI 1154083046
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patient Care Medical Group PC 30 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1053968321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 DARMODY AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024547",
            "telephone_number": "732-429-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 DARMODY AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089020890",
            "telephone_number": "732-429-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Darmody Ave",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089020890",
            "country_code": "US",
            "telephone_number": "732-429-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAMTA",
        "middle_name": "A",
        "credential": "APN FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00930900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "1053968321",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "680 Darmody Ave",
            "city": "North Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089020890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAMTA",
            "last_name": "PATEL",
            "middle_name": "R",
            "credential": "APN FNP BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jatin Patel
• Jhuli R. Patel, PA-C
• Jignesh Patel, DPT
• Khyati Patel, PTA
• Kirti R Patel, NP
• Maulika Patel
• Meera Patel, OTR/L
• Mehali Parth Patel
• Neil Himanshu Patel, MD
• Niyati M Patel, RPH

• All providers in North Brunswick, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.