Organization Active NPI

Risdill DDS PA

  • Durable Medical Equipment & Medical Supplies
  • Clifton, NJ
National Provider Identifier
1255997250
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RISDILL DDS PA
Practice address
50 Mount Prospect Ave Ste 208
Clifton, NJ 07013-1900
Phone
(973) 249-0450
Fax
(973) 405-6512
NPI assigned
May 15, 2019
Organization subpart
Yes
Parent organization
RISDILL DDS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Dr. Mitesh Patel, DDS
Title
Owner
Phone
(973) 249-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

50 Mount Prospect Ave Ste 208
Clifton, NJ 07013-1900

Mailing address

50 Mount Prospect Ave Ste 208
Clifton, NJ 07013-1900
Phone (973) 249-0450

National Provider Directory

National Provider Directory
Part of
Risdill DDS PA

Locations

50 Mount Prospect Ave
Ste 208
Clifton, NJ 07013
Phone (973) 249-0450

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1255997250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE STE 208",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "973-249-0450",
            "fax_number": "973-405-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE STE 208",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "973-249-0450",
            "fax_number": "973-405-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISDILL DDS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RISDILL DDS PA",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-249-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.