NPIMap

Individual provider Active NPI

Pulin H Patel, M.D.

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1063535664
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08345000 Issued in NJ
Practice address
22 Meridian Rd Unit 10
Edison, NJ 08820-2848
Phone
(732) 243-9808
Fax
(732) 791-5765
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X MT 183518 PA
Internal Medicine Physician 207R00000X 25MA08345000 NJ Primary

Addresses

Primary practice location

22 Meridian Rd Unit 10
Edison, NJ 08820-2848

Mailing address

22 Meridian Rd
Unit 10
Edison, NJ 08820-2848
Phone (732) 243-9808

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pulin.patel@glacecentral.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000134 NJ Practitioner - Internal Medicine 0840374369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 Meridian Rd
Unit 10
Edison, NJ 08820-2848
Phone (732) 243-9808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT 183518PAMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Kespra Medical Center LLC CurrentSince Dec 15, 2014 Accepting new patients
Cedar Oaks Healthcare, LLC Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

22 Meridian Rd
Unit 10
Edison, NJ 08820
Phone (732) 243-9808

Interoperability endpoints

  • Direct secure messaging: pulin.patel@glacecentral.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1063535664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MERIDIAN RD",
            "address_2": "UNIT 10",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202848",
            "telephone_number": "732-243-9808",
            "fax_number": "732-791-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MERIDIAN RD UNIT 10",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202848",
            "telephone_number": "732-243-9808",
            "fax_number": "732-791-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PULIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PA",
            "license": "MT 183518",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08345000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pulin.patel@glacecentral.com",
            "affiliation": "N",
            "endpointDescription": "direct message email address",
            "address_1": "22 Meridian Rd Unit 10",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088202848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.