Individual provider Active NPI

Sunil Patel, M.D

  • Cardiovascular Disease Physician
  • Maplewood, NJ
National Provider Identifier
1255354726
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA073729 Issued in NJ
Practice address
2010 Springfield Ave
Maplewood, NJ 07040-3437
Phone
(973) 275-9500
Fax
(973) 275-9501
NPI assigned
Jul 25, 2006
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA073729 NJ Primary

Addresses

Primary practice location

2010 Springfield Ave
Maplewood, NJ 07040-3437

Mailing address

PO Box 178
Colonia, NJ 07067-0178
Phone (973) 275-9500

Other identifiers 1

IdentifierTypeStateIssuer
0010332MedicaidNJ

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
I20040517000580 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Sleep MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Internal Medicine 3971593393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease, Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean Heart IncGroup PAC ID 6901854728, 2 clinicians

Practice addresses (Care Compare)

2010 Springfield Ave
Maplewood, NJ 07040-3437
Phone (973) 275-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.55
Improvement activities
40
Cost
82.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA073729NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Heart Inc. Cardiovascular Disease CurrentSince Dec 1, 2004 Accepting new patients
NJ Urgentcare Past Accepting new patients
Heart Associates LLC Past Accepting new patients

Locations

34 Union Ave
Irvington, NJ 07111
Phone (551) 358-7382

40 Union Ave
Ste 101
Irvington, NJ 07111
Phone (973) 371-3216

2010 Springfield Ave
Maplewood, NJ 07040
Phone (973) 275-9500

Interoperability endpoints

  • Direct secure messaging: sunil.patel@glacecentral.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1255354726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070670178",
            "telephone_number": "973-275-9500",
            "fax_number": "973-275-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403437",
            "telephone_number": "973-275-9500",
            "fax_number": "973-275-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNIL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA073729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010332",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.