Organization Active NPI

Diptika Patel,MD,PA

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1194754093
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DIPTIKA PATEL,MD,PA
Practice address
200 Perrine Rd Ste 227
Old Bridge, NJ 08857-2871
Phone
(732) 727-4780
Fax
(732) 727-1989
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. Diptika Patel, M.D
Title
Owner
Phone
(732) 727-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

200 Perrine Rd Ste 227
Old Bridge, NJ 08857-2871

Mailing address

200 Perrine Rd Ste 227
Old Bridge, NJ 08857-2871
Phone (732) 727-4780

Other identifiers 1

IdentifierTypeStateIssuer
7061706MedicaidNJ

National Provider Directory

National Provider Directory

Locations

200 Perrine Rd
Ste 227
Old Bridge, NJ 08857
Phone (732) 238-3773

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1194754093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD STE 227",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572871",
            "telephone_number": "732-727-4780",
            "fax_number": "732-727-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD STE 227",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572871",
            "telephone_number": "732-727-4780",
            "fax_number": "732-727-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPTIKA PATEL,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPTIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-727-4780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7061706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.