Individual provider Active NPI

Jarna Patel

  • Physician Assistant
  • Lodi, NJ
National Provider Identifier
1154928737
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00582800 Issued in NJ
Practice address
184 Essex St
Lodi, NJ 07644-2707
Phone
(201) 843-3207
NPI assigned
Oct 6, 2020
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00582800 NJ Primary

Addresses

Primary practice location

184 Essex St
Lodi, NJ 07644-2707

Mailing address

11 Barley CT
Plainsboro, NJ 08536-3100
Phone (609) 462-2980

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
I20210106001222 NJ Practitioner - Physician Assistant 3971916206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shah Anuj MD PCGroup PAC ID 5395006902, 29 clinicians

Practice addresses (Care Compare)

1216 Route 22
Mountainside, NJ 07092-2606
Phone (973) 916-0002

143 Palisade Ave
Jersey City, NJ 07306-1101
Phone (973) 916-0002

293 Passaic St
Passaic, NJ 07055-5803
Phone (973) 916-0002

297 Central Ave
Suite a
Jersey City, NJ 07307-2977
Phone (973) 916-0002

433 N Broad St
Elizabeth, NJ 07208-3300
Phone (973) 916-0002

591 Franklin Ave
Nutley, NJ 07110-1284
Phone (973) 916-0002

621 Kennedy Blvd
North Bergen, NJ 07047-1728
Phone (973) 916-0002

709 Newark Ave
Jersey City, NJ 07306-2803
Phone (973) 916-0002

79 Hudson St
Suite 100LL
Hoboken, NJ 07030-5640
Phone (973) 916-0002

855 Broadway
Bayonne, NJ 07002-3018
Phone (973) 916-0002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of New Jersey, LLC PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1154928737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BARLEY CT",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363100",
            "telephone_number": "609-462-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ESSEX ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442707",
            "telephone_number": "201-843-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JARNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00582800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

Verify at the official NPI Registry.