Shirish C Patrawalla, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

27791 Issued in NJ

Practice address

264 Boyden Ave
Maplewood, NJ 07040

Phone

(973) 763-4120

Fax

(973) 763-1713

NPI assigned

Aug 22, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245346188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BOYDEN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-763-4120",
            "fax_number": "973-763-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BOYDEN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-763-4120",
            "fax_number": "973-763-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRAWALLA",
        "first_name": "SHIRISH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "27791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollin W Passarella, RN
• Chirag D Patel, M.D.
• Jaimy Patel, BSC HONORS, MBBS, MD
• Mansi Patel, PHARMD
• Sunil Patel, M.D
• Peaceful Minds Therapy Center LLC
• Peaceful Wellness Services
• Sylvia D. Pearl
• Pediatric Surgery Group, LLC
• Nicole Peluso, LPC

• Cardiovascular Disease Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Cardiovascular Disease Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.