Udaykumar P Patel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI02260401 Issued in NJ

Practice address

101 S White Horse Pike
Lindenwold, NJ 08021-2304

Phone

(856) 556-7466

Fax

(856) 556-9161

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Uday P Patel Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194803569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LAMPLIGHTER CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534713",
            "telephone_number": "856-797-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WHITE HORSE PIKE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212304",
            "telephone_number": "856-556-7466",
            "fax_number": "856-556-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "UDAYKUMAR",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02260401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UDAY",
            "last_name": "PATEL",
            "middle_name": "P",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emmanuel Owusu, PMHNP
• Lisa Pasco, PHARMD
• Pradip N Patel, MD
• Priyam Patel, M.D.
• Riddhi P Patel
• Vishalkumar Patel
• Rosemarie N. Patrizio, LCSW
• Pennreach
• Christine R Poulton
• Gabrielle Powell

• General Practice Dentistry in Lindenwold, NJ
• Providers in Lindenwold, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.