Manmohan Patel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA3560900 Issued in NJ

Practice address

340 Airis Dr # Suite 203
Cardio Pulmonary Diagnostic LLC, Newark Liberty Interna
Newark, NJ 07114-3715

Phone

(973) 596-1200

Fax

(973) 596-9212

NPI assigned

Jul 13, 2006

Last updated

Nov 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Manmohan Apabhai Patel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  NPD (past)
• Elite Gastroenterology LLC

  • Gastroenterology Physician
  • West Windsor, NJ
  • NPI 1285459834
  NPD (past)
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  NPD (past)
• NJ Cardiovascular Institute LLC

  • Cardiovascular Disease Physician
  • Secaucus, NJ
  • NPI 1265962187
  NPD (past)
• Saint Michaels Physician Services PC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1063791820
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1083639512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71176",
            "address_2": "CARDIO PULMONARY DIAGNOSTIC LLC",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-596-1200",
            "fax_number": "973-596-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 AIRIS DR # SUITE 203",
            "address_2": "CARDIO PULMONARY DIAGNOSTIC LLC, NEWARK LIBERTY INTERNA",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071143715",
            "telephone_number": "973-596-1200",
            "fax_number": "973-596-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANMOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA03560900",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA3560900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANMOHAN",
            "last_name": "PATEL",
            "middle_name": "APABHAI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kahan Jitendrakumar Patel, MD
• Kajal R Patel
• Kunnal Patel
• Labhubhai Patel
• Lalita G Patel
• Mihir Harish Patel, PHARM.D.
• Nancy Patel
• Neha Bhanabhai Patel, M.D.
• Neha S Patel, DDS
• Neil Patel

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.