Individual provider Active NPI

Arvind Mansukh Patel, M.D.

  • Urology Physician
  • Old Bridge, NJ
National Provider Identifier
1134323595
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA031780 Issued in NJ
Practice address
200 Perrine Rd #203
Old Bridge, NJ 08857-2836
Phone
(732) 721-2200
Fax
(732) 253-5550
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MA031780 NJ Primary
Urology Physician 208800000X 031780 NJ

Addresses

Primary practice location

200 Perrine Rd #203
Old Bridge, NJ 08857-2836

Mailing address

200 Perrine Rd #203
Old Bridge, NJ 08857-2836
Phone (732) 721-2200

Other identifiers 2

IdentifierTypeStateIssuer
0743003MedicaidNJ
1D0743003MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090430000556 NJ Practitioner - Urology 2365590361 Practice locations: Edison, NJ

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

956 Amboy Ave
Edison, NJ 08837-2810
Phone (732) 738-5151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031780NJMDUrology Physician
MA031780NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arvind M. Patel M.D Urology CurrentSince Jan 1, 1990 Accepting new patients
Arvind M Patel Urology PastSince Oct 5, 2021 Accepting new patients

Locations

956 Amboy Ave
Edison, NJ 08837
Phone (732) 738-5151

200 Perrine Rd
Ste 203
Old Bridge, NJ 08857
Phone (732) 525-0400

Organizations & group practices 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1134323595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD #203",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572836",
            "telephone_number": "732-721-2200",
            "fax_number": "732-253-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD #203",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572836",
            "telephone_number": "732-721-2200",
            "fax_number": "732-253-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ARVIND",
        "middle_name": "MANSUKH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA031780",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "031780",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743003",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D0743003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.