Individual provider Active NPI

Swarupa S Patel, D.D.S

  • General Practice Dentistry
  • Clifton, NJ
National Provider Identifier
1174680631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI019080 Issued in NJ
Practice address
729 Van Houten Ave
2ND Floor, Suite -1
Clifton, NJ 07013-2068
Phone
(973) 815-0600
Fax
(973) 815-0212
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI019080 NJ Primary

Addresses

Primary practice location

729 Van Houten Ave
2ND Floor, Suite -1
Clifton, NJ 07013-2068

Mailing address

729 Van Houten Ave
2ND Floor, Suite -1
Clifton, NJ 07013-2068
Phone (973) 815-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI019080NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174680631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 VAN HOUTEN AVE",
            "address_2": "2ND FLOOR, SUITE -1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132068",
            "telephone_number": "973-815-0600",
            "fax_number": "973-815-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 VAN HOUTEN AVE",
            "address_2": "2ND FLOOR, SUITE -1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132068",
            "telephone_number": "973-815-0600",
            "fax_number": "973-815-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SWARUPA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.