Active NPI
Kumar Patel, M.D.
- Vascular Surgery Physician
- Lyndhurst, NJ
National Provider Identifier
1194800243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MA57511
- Practice address
- 1050 Wall St W
Suite 360
Lyndhurst, NJ 07071-3621 - Phone
- (201) 821-7900
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MA57511 | NJ | Primary |
Addresses
Primary practice location
1050 Wall St W
Suite 360
Lyndhurst, NJ 07071-3621
Mailing address
245 E Main St
Ramsey, NJ 07446-1942
Phone (201) 327-0220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5350409 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100104000386 | NJ | Practitioner - Vascular Surgery | 1052452703 | Practice locations: Ramsey, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA57511 | NJ | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1194800243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E MAIN ST",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074461942",
"telephone_number": "201-327-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 WALL ST W",
"address_2": "SUITE 360",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070713621",
"telephone_number": "201-821-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUMAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "MA57511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5350409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.