Active NPI
Roshani M Patel, D.M.D.
- Dentist
- New York, NY
National Provider Identifier
1114205382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0555-771
- Practice address
- 250 W 57TH Street Suite 1816
1816
New York, NY 10019 - Phone
- (212) 873-1234
- NPI assigned
- Jul 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02475300 | NJ | |
| Dentist | 122300000X | 0555-771 | NY | Primary |
Addresses
Primary practice location
250 W 57TH Street Suite 1816
1816
New York, NY 10019
Mailing address
45 E 51St St
Bayonne, NJ 07002-4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02475300 | NJ | MD | Dentist |
| 0555-771 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1114205382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E 51ST ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 57TH STREET SUITE 1816",
"address_2": "1816",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-873-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ROSHANI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02475300",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0555-771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.