Individual provider Active NPI

Ankitkumar Kirankumar Patel, M.D., M.P.H.

  • Interventional Cardiology Physician
  • Glen Ridge, NJ
National Provider Identifier
1184820557
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA08748200 Issued in NJ
Practice address
123 Highland Ave
Suite 302
Glen Ridge, NJ 07028-1527
Phone
(973) 748-9555
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT190919 PA
Internal Medicine Physician 207R00000X MD438763 PA
Interventional Cardiology Physician 207RI0011X 25MA08748200 NJ Primary
Cardiovascular Disease Physician 207RC0000X 25MA08748200 NJ

Addresses

Primary practice location

123 Highland Ave
Suite 302
Glen Ridge, NJ 07028-1527

Mailing address

3 Bradford Rd
Edison, NJ 08820-2644
Phone (732) 494-9138

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930000986 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4284760372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Rutgers New Jersey Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as individual
Quality
94.47
Improvement activities
0
Cost
80.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438763PAMDInternal Medicine Physician
MT190919PAMDInternal Medicine Physician
25MA08748200NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Humc Cardiovascular Partners, PC Cardiovascular Disease CurrentSince Oct 21, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Internal Medicine Past Accepting new patients

Locations

123 Highland Ave
Ste 302
Glen Ridge, NJ 07028
Phone (973) 748-9555

311 Bay Ave
Ste 100
Glen Ridge, NJ 07028
Phone (551) 996-9250

123 Highland Ave
Glen Ridge, NJ 07028
Phone (973) 746-7474

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

650 From Rd
Ste 508
Paramus, NJ 07652
Phone (201) 639-6640

799 Bloomfield Ave
Ste 112
Verona, NJ 07044
Phone (973) 239-2323

Interoperability endpoints

  • Direct secure messaging: apatel188912@ahs.direct-ci.com
  • Direct secure messaging: ankitkumar.patel@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 6

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1184820557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRADFORD RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202644",
            "telephone_number": "732-494-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE 302",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-748-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKITKUMAR",
        "middle_name": "KIRANKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT190919",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD438763",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA08748200",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08748200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.