Mitul R. Patel M.D. P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

203391 Issued in NY

Legal business name

MITUL R. PATEL M.D. P.C.

Practice address

250 Patchogue Yaphank Rd
Suite 7
East Patchogue, NY 11772-4800

Phone

(631) 289-0900

Fax

(631) 758-2542

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mitul R. Patel, M.D.NPI 1285615120

Title

President

Phone

(631) 289-0900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitul R Patel, M.D.

  • General Practice Physician
  • East Patchogue, NY
  • NPI 1285615120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1245521673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 7",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-289-0900",
            "fax_number": "631-758-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 7",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-289-0900",
            "fax_number": "631-758-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITUL R. PATEL M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-289-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "203391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Richard Miller, DMD
• Carl Mills II, M.D.
• Lauren Minuto, PHARM. D
• Jedonne Mitcham
• Lauren Mitchell, OTR
• Mobile Chiropractic Services, PC
• Mohammed S. Hossain M.D.P.C.
• Rene Molnar, D.O.
• Asrith Mompoint
• Mona Vani MD PC

• General Practice Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.