Individual provider Active NPI

Shyam Patel, MD

  • Gastroenterology Physician
  • Voorhees, NJ
National Provider Identifier
1124439427
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA11503400 Issued in NJ
Practice address
502 Centennial Blvd Ste 3
Voorhees, NJ 08043-9544
Phone
(856) 751-2300
Fax
(856) 751-2333
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD473447 PA
Gastroenterology Physician 207RG0100X 25MA11503400 NJ Primary

Addresses

Primary practice location

502 Centennial Blvd Ste 3
Voorhees, NJ 08043-9544

Mailing address

335 Righters Ferry Rd Apt 410
Bala Cynwyd, PA 19004-1747
Phone (908) 448-9686

Other practice location 1

2301 E Evesham Rd Ste 110
Voorhees, NJ 08043-4502
Phone (856) 772-1600

Other practice location 2

1945 Route 70 E Ste D
Cherry Hill, NJ 08003-2160
Phone (856) 237-8045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210609002528 PA Practitioner - Internal Medicine 3971875220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan Inc 774 clinicians

Practice addresses (Care Compare)

5401 Old York Rd
Philadelphia, PA 19141-3030
Phone (215) 456-3930

5401 Old York Rd Klein BLDG
Phila, PA 19141-3030

5501 Old York Rd
Phila, PA 19141-3018

5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786

5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270

559 W Germantown Pike
East Norriton, PA 19403-4250

609 W Germantown Pike
East Norriton, PA 19403-4250

Einstein Surgical Assocs
700 West Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-7800

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy184
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11503400NJMDGastroenterology Physician
MD473447PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Jun 1, 2023 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 1, 2024 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jun 1, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 1, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Virtua Medical Group, PA Internal Medicine Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

676 DeKalb Pike
Ste 102
Blue Bell, PA 19422
Phone (610) 233-3660

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1010 W Chester Pike
Ste 202
Havertown, PA 19083
Phone (215) 789-3510

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

700 W Germantown Pike
Ste 101
Norristown, PA 19403
Phone (610) 233-3660

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900

700 Cottman Ave
Ste 201
Philadelphia, PA 19111
Phone (215) 742-8123

5401 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 324-3399

475 Enterprise Dr
Ste 202
Royersford, PA 19468
Phone (610) 674-4401

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: shyampatel@ddal.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1124439427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 RIGHTERS FERRY RD APT 410",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041747",
            "telephone_number": "908-448-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CENTENNIAL BLVD STE 3",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439544",
            "telephone_number": "856-751-2300",
            "fax_number": "856-751-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Evesham Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434502",
            "country_code": "US",
            "telephone_number": "856-772-1600",
            "fax_number": "856-772-9031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Route 70 E Ste D",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032160",
            "country_code": "US",
            "telephone_number": "856-237-8045",
            "fax_number": "856-237-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD473447",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA11503400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.