Active NPI
Ricky Patil, MD
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1285218289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 208600000X
- Practice address
- 150 55TH St, Brooklyn, Ny 11220
Brooklyn, NY 11220 - Phone
- (732) 609-7978
- NPI assigned
- May 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 208600000X | NY | Primary |
Addresses
Primary practice location
150 55TH St, Brooklyn, Ny 11220
Brooklyn, NY 11220
Mailing address
57 Pebble Creek Rd
Dayton, NJ 08810-1618
Phone (732) 609-7978
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
| License | State | Type | Specialty |
|---|---|---|---|
| 208600000X | NY | MD | Surgery Physician |
Interoperability endpoints
- rpatil457086@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1285218289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PEBBLE CREEK RD",
"city": "DAYTON",
"state": "NJ",
"postal_code": "088101618",
"telephone_number": "732-609-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 55TH ST, BROOKLYN, NY 11220",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11220",
"telephone_number": "732-609-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "RICKY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "208600000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.