Individual provider Active NPI

Shruti Satish Patel, DNP, APN-BC

  • Primary Care Nurse Practitioner
  • Monroe, NJ
National Provider Identifier
1063010940
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01065400 Issued in NJ
Practice address
298 Applegarth Rd Ste G
Monroe, NJ 08831-3822
Phone
(732) 663-0300
Fax
(732) 663-0301
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01065400 NJ Primary

Addresses

Primary practice location

298 Applegarth Rd Ste G
Monroe, NJ 08831-3822

Mailing address

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Other practice location 1

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Other identifiers 2

IdentifierTypeStateIssuer
26NR18079200OtherNJNJ REGISTERED PROFESSIONAL NURSE LICENSE
26NJ01065400OtherNJNJ APN LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222002010 NJ Practitioner - Nurse Practitioner 2062824733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Cardiology Associates, LLCGroup PAC ID 6901881200, 43 clinicians

Practice addresses (Care Compare)

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
73.77
Promoting interoperability
95
Improvement activities
40
Cost
73.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

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.

Hospital & facility affiliations 2

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1063010940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 APPLEGARTH RD STE G",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088313822",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077242242",
            "country_code": "US",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRUTI",
        "middle_name": "SATISH",
        "name_prefix": "Dr.",
        "credential": "DNP,  APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01065400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ REGISTERED PROFESSIONAL NURSE LICENSE",
            "identifier": "26NR18079200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ APN LICENSE",
            "identifier": "26NJ01065400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NJ

Sources for this page

Verify at the official NPI Registry.