Active NPI
Shyam Patel, MD
- Gastroenterology Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA11503400
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Jefferson Einstein Montgomery Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 184 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 90 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11503400 | NJ | MD | Gastroenterology Physician |
| MD473447 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Gastroenterology | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | 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
- 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.
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
Gastroenterology, PA
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1679525372
-
- Otolaryngology Physician
- Philadelphia, PA
- NPI 1407814072
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Physical Medicine & Rehabilitation Physician
- Glen Mills, PA
- NPI 1083061006
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.