Individual provider Active NPI

Krishna Patel, M.D.

  • Pediatrics Physician
  • Clinton, NJ
National Provider Identifier
1235166489
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA04200300 Issued in NJ
Practice address
40 Pittstown Road
Hunterdon Developmental Center
Clinton, NJ 08809-4008
Phone
(908) 735-4031
Fax
(908) 730-1340
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA04200300 NJ Primary

Addresses

Primary practice location

40 Pittstown Road
Hunterdon Developmental Center
Clinton, NJ 08809-4008

Mailing address

40 Pittstown Road
State of New Jersey /Hunterdon Developmental Center
Clinton, NJ 08809-0000
Phone (908) 735-4031

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000556 NJ Practitioner - Pediatric Medicine 2365587268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, shared by 9 NPIs, 129 clinicians

Practice addresses (Care Compare)

275 Greenbrook Rd
Green Brook, NJ 08812-2223
Phone (732) 968-6000

40 Pittstown Rd
Clinton, NJ 08809-1209
Phone (908) 730-1301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 11, 2018 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Apr 1, 2014 Accepting new patients

Locations

40 Pittstown Rd
Clinton, NJ 08809
Phone (908) 730-1301

275 Greenbrook Rd
Green Brook, NJ 08812
Phone (732) 968-6000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1235166489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PITTSTOWN ROAD",
            "address_2": "STATE OF NEW JERSEY /HUNTERDON DEVELOPMENTAL CENTER",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088090000",
            "telephone_number": "908-735-4031",
            "fax_number": "908-730-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PITTSTOWN ROAD",
            "address_2": "HUNTERDON DEVELOPMENTAL CENTER",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088094008",
            "telephone_number": "908-735-4031",
            "fax_number": "908-730-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04200300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

Verify at the official NPI Registry.