Organization Active NPI

Jayantilal P Patel,D.D.S.,P.a.

  • Dental Clinic/Center
  • South Plainfield, NJ
National Provider Identifier
1063621597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19383 Issued in NJ
Legal business name
JAYANTILAL P PATEL,D.D.S.,P.A.
Practice address
906 Oak Tree Ave Ste M
South Plainfield, NJ 07080-5127
Phone
(908) 769-5200
Fax
(908) 769-6328
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jayant P Patel, D.D.S.
Title
President-Owner
Phone
(908) 769-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19383 NJ Primary

Addresses

Primary practice location

906 Oak Tree Ave Ste M
South Plainfield, NJ 07080-5127

Mailing address

906 Oak Tree Ave Ste M
South Plainfield, NJ 07080-5127
Phone (908) 769-5200

National Provider Directory

National Provider Directory

Locations

906 Oak Tree Ave
Ste M
South Plainfield, NJ 07080
Phone (908) 222-3200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063621597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 OAK TREE AVE STE M",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805127",
            "telephone_number": "908-769-5200",
            "fax_number": "908-769-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 OAK TREE AVE STE M",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805127",
            "telephone_number": "908-769-5200",
            "fax_number": "908-769-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYANTILAL P PATEL,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYANT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "908-769-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "19383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.