Anjali Patel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336933 Issued in NY

Practice address

34-29 83Rd Street
Jackson Heights, NY 11372

Phone

(718) 424-7800

Fax

(718) 424-0888

NPI assigned

Dec 26, 2012

Last updated

Feb 6, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Internal Medicine PLLC

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1376880013
  Medicare reassignment NPD
• Mehta Medical PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1861977316
  NPD (past)

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1063758860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-29 83RD STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-7800",
            "fax_number": "718-424-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-29 83RD STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-7800",
            "fax_number": "718-424-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 community drive",
            "address_2": "nslij",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "11030",
            "country_code": "US",
            "telephone_number": "516-562-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANJALI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063758860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanapong Pantasri, PHARM.D
• Parents in Action for Leadership and Human Rights
• Park Slope Medical Office PC
• Parkway Medical Services, P.C.
• Adriana Passini, LCSW
• Darshi Patel
• Dhruvi Patel
• Kishi M Patel, DO
• Monica Sidharaj Patel, M.D.
• Rajvi Patel

• Family Nurse Practitioner in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.