Individual provider Active NPI

Prahlad M Patel, M.D.

  • Internal Medicine Physician
  • Sicklerville, NJ
National Provider Identifier
1184705535
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05443800 Issued in NJ
Practice address
600 Cross Keys Rd
#102
Sicklerville, NJ 08081-4147
Phone
(856) 875-5152
NPI assigned
Oct 18, 2006
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05443800 NJ Primary

Addresses

Primary practice location

600 Cross Keys Rd
#102
Sicklerville, NJ 08081-4147

Mailing address

600 Berlin Cross Keys Road
#102
Sicklerville, NJ 08081
Phone (856) 875-5152

Other identifiers 1

IdentifierTypeStateIssuer
1758802MedicaidNJ

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
I20050706000643 NJ Practitioner - Internal Medicine 3779535497 Reassigns benefits to 1 organization
Practice locations: Sicklerville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 Berlin Crosskeys Rd
Sicklerville, NJ 08081-4147
Phone (856) 875-5152

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.37 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
81.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Health Center. PC Internal Medicine CurrentSince Oct 31, 1997 Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients

Locations

2300 Atlantic Ave
Ste 1
Atlantic City, NJ 08401
Phone (609) 345-9100

600 Berlin Cross Keys Rd
Ste 102
Sicklerville, NJ 08081
Phone (609) 875-5152

Organizations & group practices 2

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

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1184705535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BERLIN CROSS KEYS ROAD",
            "address_2": "#102",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-875-5152",
            "fax_number": "856-872-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CROSS KEYS RD",
            "address_2": "#102",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814147",
            "telephone_number": "856-875-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAHLAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05443800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.