Individual provider Active NPI

Purvesh D Patel, APN

  • Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1134664717
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01066000 Issued in NJ
Practice address
701 Cooper Rd Ste 16
Voorhees, NJ 08043-8007
Phone
(856) 429-2224
Fax
(856) 429-1926
NPI assigned
Jan 5, 2017
Last updated
Jan 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01066000 NJ Primary
Registered Nurse 163W00000X 26NR18553800 NJ

Addresses

Primary practice location

701 Cooper Rd Ste 16
Voorhees, NJ 08043-8007

Mailing address

101 Columbia Blvd
Cherry Hill, NJ 08002-1111
Phone (856) 426-8281

Other identifiers 1

IdentifierTypeStateIssuer
26NR18553800OtherNJNJ BOARD OF NURSING

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116000070 NJ Practitioner - Nurse Practitioner 8921418310 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR18553800NJMDRegistered Nurse
26NJ01066000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Maro MD PA CurrentSince Nov 9, 2020 Accepting new patients

Locations

701 Cooper Rd
Ste 16
Voorhees, NJ 08043
Phone (856) 429-2224

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1134664717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLUMBIA BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021111",
            "telephone_number": "856-426-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COOPER RD STE 16",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438007",
            "telephone_number": "856-429-2224",
            "fax_number": "856-429-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURVESH",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01066000",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18553800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF NURSING",
            "identifier": "26NR18553800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.