Active NPI
Chirag Patel
- Internal Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10262600
- Practice address
- 30 Prospect Ave
4 Main; Room 4621
Hackensack, NJ 07601 - Phone
- (551) 996-2605
- NPI assigned
- Jun 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN21854 | FL | |
| Internal Medicine Physician | 207R00000X | 25MA10262600 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
4 Main; Room 4621
Hackensack, NJ 07601
Mailing address
30 Prospect Ave
4 Main; Room 4621
Hackensack, NJ 07601-1915
Other practice location 1
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 592-2753
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600
Hospital & facility affiliations
- Saint Peter'S University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN21854 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Pennsylvania, P.C. | Internal Medicine | Current | Accepting new patients |
| St Josephs Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of New Jersey, PC | Internal Medicine | Current | Accepting new patients |
| St. Joseph'S Healthcare, Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Peter'S University Hospital | Current | Accepting new patients |
Locations
30 Prospect Ave
Rm 4621
Hackensack, NJ 07601
Phone (551) 996-2605
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
#P
Paterson, NJ 07503
Interoperability endpoints
- chirag.patel.1@8568.direct.athenahealth.com
- chirag.patel@hca4.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1629304290
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
-
- Internal Medicine Physician
- Somerset, PA
- NPI 1639464308
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1093196206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "4 MAIN; ROOM 4621",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "4 MAIN; ROOM 4621",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "551-996-2605"
}
],
"practiceLocations": [
{
"address_1": "11375 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135409",
"country_code": "US",
"telephone_number": "352-592-2753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "CHIRAG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN21854",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10262600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.