Organization Active NPI

Mitesh R Patel DDS LLC

Doing business as Hawthorne Family Dentistry

  • Dental Clinic/Center
  • Hawthorne, NJ
National Provider Identifier
1174024442
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI20132 Issued in NJ
Legal business name
MITESH R PATEL DDS LLC
Doing business as
Hawthorne Family Dentistry
Practice address
354 Lincoln Ave
Hawthorne, NJ 07506-1200
Phone
(973) 427-9299
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Mitesh R Patel, DDSNPI 1952433708
Title
Owner
Phone
(973) 427-9299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DI20132 NJ Primary

Addresses

Primary practice location

354 Lincoln Ave
Hawthorne, NJ 07506-1200

Mailing address

354 Lincoln Ave
Hawthorne, NJ 07506-1200
Phone (973) 427-9299

Other names 1

  • Hawthorne Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1174024442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061200",
            "telephone_number": "973-427-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061200",
            "telephone_number": "973-427-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITESH R PATEL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-427-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI20132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorne Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.