New Age Medical Services, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NEW AGE MEDICAL SERVICES, LLC

Practice address

15550 Highland Rd
Baton Rouge, LA 70810-6504

Phone

(225) 224-8690

Fax

(225) 615-7704

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Deepesh Rubin Patel, M.D.NPI 1588681159

Title

Founder/Managing Member

Phone

(225) 224-8690

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Deepesh Rubin Patel, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1588681159
  NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1184204117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 HIGHLAND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106504",
            "telephone_number": "225-224-8690",
            "fax_number": "225-615-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 HIGHLAND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106504",
            "telephone_number": "225-224-8690",
            "fax_number": "225-615-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEEPESH",
        "authorized_official_middle_name": "RUBIN",
        "authorized_official_title_or_position": "FOUNDER/MANAGING MEMBER",
        "authorized_official_telephone_number": "225-224-8690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CHARTER NUMBER",
            "identifier": "43352006K",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Baton Rouge, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.