Individual provider Active NPI

Brijal T Patel, MD

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1104023472
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA10905600 Issued in NJ
Practice address
1650 Grand Concourse
Bronx, NY 10457
Phone
(718) 901-8918
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2689211 NY
Emergency Medicine Physician 207P00000X 25MA10905600 NJ Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457

Mailing address

2800 Marcus Ave
Apt 12
New Hyde Park, NY 11042-1113
Phone (513) 535-4543

Other practice location 1

100 E 77th St Dept Of
New York, NY 10075-1850
Phone (212) 434-3042

Other practice location 2

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4010

Other practice location 3

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130911000877 NY Practitioner - Emergency Medicine 4880865161 Reassigns benefits to 4 organizations
I20171020001499 OH Practitioner - Emergency Medicine 4880865161
I20230130001261 NJ Practitioner - Emergency Medicine 4880865161 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2689211NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Medical Associates, PC CurrentSince Feb 25, 2018 Accepting new patients
Bronxcare Health System Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Lawrence Medical Associates, PC Current Accepting new patients
Capital Health Multispecialty Group Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jun 15, 2016 Accepting new patients
Lawrence Medical Associates, PC Emergency Medicine CurrentSince Feb 25, 2018 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Bronxcare Health System CurrentSince Aug 1, 2018 Accepting new patients

Locations

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1650 Grand Concourse
Fl 1
Bronx, NY 10457
Phone (718) 518-5340

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

13201 14th Ave
College Point, NY 11356
Phone (917) 285-2158

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
Apt 12
New Hyde Park, NY 11042

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1104023472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "address_2": "APT 12",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421113",
            "telephone_number": "513-535-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-901-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 77th St Dept Of",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-3042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BRIJAL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2689211",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10905600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.