Organization Active NPI

Park Internal Medicine LLC

  • Internal Medicine Physician
  • South Plainfield, NJ
National Provider Identifier
1295554285
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARK INTERNAL MEDICINE LLC
Practice address
1511 Park Ave
3Rd Floor, Ste # a
South Plainfield, NJ 07080-5568
Phone
(551) 322-6162
Fax
(551) 322-6173
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Sunil Ambalal PatelNPI 1972679942
Title
MD
Phone
(732) 725-9027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1511 Park Ave
3Rd Floor, Ste # a
South Plainfield, NJ 07080-5568

Mailing address

1511 Park Ave
3Rd Floor, Ste # a
South Plainfield, NJ 07080-5568
Phone (551) 322-6162

National Provider Directory

National Provider Directory

Locations

1511 Park Ave
Ste A
South Plainfield, NJ 07080
Phone (551) 322-6162

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1295554285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PARK AVE",
            "address_2": "3RD FLOOR, STE # A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805568",
            "telephone_number": "551-322-6162",
            "fax_number": "551-322-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 PARK AVE",
            "address_2": "3RD FLOOR, STE # A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805568",
            "telephone_number": "551-322-6162",
            "fax_number": "551-322-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "AMBALAL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-725-9027"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.