Individual provider Active NPI

Rekha Patel, M.D.

  • Pediatric Adolescent Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1245255496
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25MA03810400 Issued in NJ
Practice address
250 Stelton Rd
Suite 4
Piscataway, NJ 08854-3285
Phone
(732) 725-6633
Fax
(732) 752-6609
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 25MA03810400 NJ Primary

Addresses

Primary practice location

250 Stelton Rd
Suite 4
Piscataway, NJ 08854-3285

Mailing address

250 Stelton Rd
Suite 4
Piscataway, NJ 08854-3285
Phone (732) 725-6633

Other identifiers 1

IdentifierTypeStateIssuer
7400900MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03810400NJMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13983/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1245255496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STELTON RD",
            "address_2": "SUITE 4",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543285",
            "telephone_number": "732-725-6633",
            "fax_number": "732-752-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STELTON RD",
            "address_2": "SUITE 4",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543285",
            "telephone_number": "732-725-6633",
            "fax_number": "732-752-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "REKHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA03810400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.