NPIMap

Organization Active NPI

Mid-Atlantic Medical Associates, LLC

  • Internal Medicine Physician
  • Kendall Park, NJ
National Provider Identifier
1174683122
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MID-ATLANTIC MEDICAL ASSOCIATES, LLC
Practice address
1 Beekman Rd
Suite 5
Kendall Park, NJ 08824-1459
Phone
(816) 726-2077
Fax
(732) 694-3135
NPI assigned
Dec 11, 2006
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Robert B Patel, MDNPI 1275528747
Title
Sole Member
Phone
(816) 726-2077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1 Beekman Rd
Suite 5
Kendall Park, NJ 08824-1459

Mailing address

PO Box 80
Franklin Park, NJ 08823-0080
Phone (732) 297-5302

Other names 1

  • Robert Patel MD, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1 Beekman Rd
Ste 5
Kendall Park, NJ 08824
Phone (732) 297-5302

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCABD

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1174683122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088230080",
            "telephone_number": "732-297-5302",
            "fax_number": "732-694-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEEKMAN RD",
            "address_2": "SUITE 5",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241459",
            "telephone_number": "816-726-2077",
            "fax_number": "732-694-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "816-726-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Patel MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.