Individual provider Active NPI

Sapana V Patel, N.P

  • Adult Health Nurse Practitioner
  • East Hanover, NJ
National Provider Identifier
1235398918
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304676 Issued in NY
Practice address
1 Health PLZ
Corporate Health
East Hanover, NJ 07936-1016
Phone
(862) 778-9389
NPI assigned
Jun 6, 2008
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304676 NY Primary
Adult Health Nurse Practitioner 363LA2200X 26NJ00257700 NJ

Addresses

Primary practice location

1 Health PLZ
Corporate Health
East Hanover, NJ 07936-1016

Mailing address

33 Mallard PL
Secaucus, NJ 07094-2940
Phone (631) 974-6575

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000172 NJ Practitioner - Nurse Practitioner 3779702899 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aura Dermatology at Robbinsville LLCGroup PAC ID 0749523520, 3 clinicians
Aura Dermatology at Edison LLCGroup PAC ID 1355784646, 4 clinicians
Aura Dermatology at Somerset LLCGroup PAC ID 0648606087, 5 clinicians

Practice addresses (Care Compare)

17 Main St
Suite 304
Robbinsville, NJ 08691-1438
Phone (609) 415-3376

26 Journal SQ
Suite 1202
Jersey City, NJ 07306-4107
Phone (609) 415-3376

659 New Dover Rd
Edison, NJ 08820-1912
Phone (732) 912-7909

75 Veronica Ave
Suite 205
Somerset, NJ 08873-5002
Phone (732) 246-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
304676NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aura Dermatology at Somerset LLC CurrentSince Dec 9, 2019 Accepting new patients
Aura Dermatology at Edison LLC CurrentSince Dec 9, 2019 Accepting new patients
Aura Dermatology at Robbinsville LLC CurrentSince Jun 1, 2019 Accepting new patients
Aura Dermatology at Jersey City, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

659 New Dover Rd
Edison, NJ 08820
Phone (732) 912-7909

26 Journal Sq
Ste 1202
Jersey City, NJ 07306
Phone (609) 415-3376

17 Main St
Ste 304
Robbinsville, NJ 08691
Phone (609) 415-3376

75 Veronica Ave
Ste 205
Somerset, NJ 08873
Phone (732) 246-9900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1235398918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MALLARD PL",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942940",
            "telephone_number": "631-974-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTH PLZ",
            "address_2": "CORPORATE HEALTH",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361016",
            "telephone_number": "862-778-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAPANA",
        "middle_name": "V",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304676",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00257700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.