NPIMap

Organization Active NPI

Elite Gynecology and Wellness LLC

  • Obstetrics & Gynecology Physician
  • Fredericksburg, VA
National Provider Identifier
1114793171
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ELITE GYNECOLOGY AND WELLNESS LLC
Practice address
418 Chatham Square Office Park
Fredericksburg, VA 22405-2561
Phone
(540) 374-7020
Fax
(540) 374-7030
NPI assigned
Nov 30, 2023
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Dr. Zeenat Sanjay Patel, MD
Title
President
Phone
(540) 809-4857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

418 Chatham Square Office Park
Fredericksburg, VA 22405-2561

Mailing address

418 Chatham Square Office Park
Fredericksburg, VA 22405-2561
Phone (540) 374-7020

Other practice location 1

9755 Courthouse Rd Ste 104
Spotsylvania, VA 22553-1984
Phone (540) 374-7020

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2303437Elite Gynecology and Wellness418 Chatham Square Office Park, Fredericksburg, VA 22405Certificate of waiverApr 24, 2028
49D2310248Elite Gynecology and Wellness9755 Courthouse Rd #104, Spotsylvania, VA 22553Certificate of waiverAug 28, 2026

National Provider Directory

National Provider Directory

Locations

418 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 371-4700

9755 Courthouse Rd
Ste 104
Spotsylvania, VA 22553
Phone (540) 940-2000

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1114793171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052561",
            "telephone_number": "540-374-7020",
            "fax_number": "540-374-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052561",
            "telephone_number": "540-374-7020",
            "fax_number": "540-374-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9755 Courthouse Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Spotsylvania",
            "state": "VA",
            "postal_code": "225531984",
            "country_code": "US",
            "telephone_number": "540-374-7020",
            "fax_number": "540-374-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE GYNECOLOGY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ZEENAT",
        "authorized_official_middle_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-809-4857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.