Komal R Patel-Dilwali, CNM, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ14947300 Issued in NJ

Practice address

66 Lydia Dr
Guttenberg, NJ 07093-8368

Phone

(781) 507-5926

NPI assigned

Sep 1, 2023

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Komal D Patel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1063298438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LYDIA DR",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070938368",
            "telephone_number": "781-507-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LYDIA DR",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070938368",
            "telephone_number": "781-507-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL-DILWALI",
        "first_name": "KOMAL",
        "middle_name": "R",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00083900",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ14947300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOMAL",
            "last_name": "PATEL",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Women's Health Nurse Practitioner in Guttenberg, NJ
• Providers in Guttenberg, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.