Active NPI
Krishna Patel
- Physician Assistant
- Old Bridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00827800
- Practice address
- 1120 US Highway 9
Old Bridge, NJ 08857-2860 - Phone
- (732) 200-7800
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00827800 | NJ | Primary |
Addresses
Primary practice location
1120 US Highway 9
Old Bridge, NJ 08857-2860
Mailing address
15 Lavender Dr
Piscataway, NJ 08854-3593
Phone (732) 853-4154
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177
2 Journal Square PLZ
Suite a
Jersey City, NJ 07306-4001
Phone (551) 325-2333
352 Ryders LN
Milltown, NJ 08850-1706
Phone (732) 638-1990
4200 Bergenline Ave
Union City, NJ 07087-4924
Phone (551) 257-1948
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652-3623
Phone (201) 262-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00827800 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am PM Primary Care | Past | Accepting new patients | |
| Monmouth Digestive Health LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Bergenfield, NJ
- NPI 1073853859
-
- Urgent Care Clinic/Center
- Paramus, NJ
- NPI 1316272685
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
- Primary Care Clinic/Center
- Bergenfield, NJ
- NPI 1083045694
-
- Gastroenterology Physician
- Eatontown, NJ
- NPI 1831721232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1083485346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LAVENDER DR",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543593",
"telephone_number": "732-853-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 US HIGHWAY 9",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572860",
"telephone_number": "732-200-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRISHNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00827800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.