Organization Active NPI

Mid-Atlantic Medical Associates, LLC

  • Specialist
  • Kendall Park, NJ
National Provider Identifier
1225316011
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID-ATLANTIC MEDICAL ASSOCIATES, LLC
Practice address
1 Beekman Rd
Suite 5
Kendall Park, NJ 08824-1459
Phone
(732) 297-5302
Fax
(732) 694-3135
NPI assigned
Jul 27, 2011
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Mr. Robert B Patel, M.DNPI 1275528747
Title
Sole Member
Phone
(816) 726-2077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1 Beekman Rd
Suite 5
Kendall Park, NJ 08824-1459

Mailing address

PO Box 80
Franklin Park, NJ 08823-0080
Phone (732) 297-5302

Other names 1

  • Robert Patel MD, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1225316011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088230080",
            "telephone_number": "732-297-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEEKMAN RD",
            "address_2": "SUITE 5",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241459",
            "telephone_number": "732-297-5302",
            "fax_number": "732-694-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "816-726-2077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Patel MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.