C J Patel MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03591200 Issued in NJ

Legal business name

C J PATEL MD PA

Practice address

901 Central Ave
Minotola, NJ 08341

Phone

(856) 697-0111

Fax

(856) 697-0003

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Chimanlal Patel, MD

Title

President

Phone

(856) 697-0111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1083922298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "MINOTOLA",
            "state": "NJ",
            "postal_code": "083410698",
            "telephone_number": "856-697-0111",
            "fax_number": "856-697-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CENTRAL AVE",
            "city": "MINOTOLA",
            "state": "NJ",
            "postal_code": "08341",
            "telephone_number": "856-697-0111",
            "fax_number": "856-697-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C J PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIMANLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-697-0111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03591200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Minotola, NJ
• Providers in Minotola, 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 Aug 24, 2017; 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.