Individual provider Active NPI

Bimal Patel, D.O

  • Interventional Pain Medicine Physician
  • Metuchen, NJ
National Provider Identifier
1174899116
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MB10291900 Issued in NJ
Practice address
45 Pearl St
Metuchen, NJ 08840-1832
Phone
(908) 522-2808
Fax
(732) 590-6102
NPI assigned
Mar 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34.012116 OH
Interventional Pain Medicine Physician 208VP0014X 25MB10291900 NJ Primary

Addresses

Primary practice location

45 Pearl St
Metuchen, NJ 08840-1832

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpatel@nspc.emadirect.md

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621001254 NJ Practitioner - Anesthesiology 0042505455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

11 Overlook Rd
Summit, NJ 07901-3577
Phone (908) 273-1493

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.012116OHMDAnesthesiology Physician
25MB10291900NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Mar 25, 2024 Accepting new patients
Premier Pain Centers, LLC. Interventional Pain Medicine CurrentSince Jul 1, 2018 Accepting new patients
Specialty Anesthesia Associates, LLC Anesthesiology CurrentSince Jan 20, 2019 Accepting new patients
Premier Pain Centers, LLC. CurrentSince Jul 1, 2018 Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

55 Schanck Rd
Ste 18
Freehold, NJ 07728

45 Pearl St
Metuchen, NJ 08840
Phone (732) 516-0089

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

167 Avenue At the Cmn
Ste 4
Shrewsbury, NJ 07702
Phone (732) 930-2026

170 Avenue At the Cmn
Ste 6
Shrewsbury, NJ 07702
Phone (732) 460-0045

1430 Hooper Ave
Ste 205
Toms River, NJ 08753
Phone (732) 473-9530

Interoperability endpoints

  • Direct secure messaging: bpatel@nspc.emadirect.md

Organizations & group practices 4

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

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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1174899116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PEARL ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401832",
            "telephone_number": "908-522-2808",
            "fax_number": "732-590-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BIMAL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34.012116",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB10291900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpatel@nspc.emadirect.md",
            "affiliation": "N",
            "address_1": "170 Avenue At The Cmn Ste 6",
            "city": "Shrewsbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077024568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.