Individual provider Active NPI

Mamta S. Patel, DNP, APN, FNP-C

  • Family Nurse Practitioner
  • Sparta, NJ
National Provider Identifier
1306691548
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15026300 Issued in NJ
Practice address
2 Prides Xing
Sparta, NJ 07871-1147
Phone
(848) 219-9721
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15026300 NJ Primary

Addresses

Primary practice location

2 Prides Xing
Sparta, NJ 07871-1147

Mailing address

2 Prides Xing
Sparta, NJ 07871-1147
Phone (848) 219-9721

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111000953 NJ Practitioner - Nurse Practitioner 2163956327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

228 Mountain Ave
Hackettstown, NJ 07840-2409
Phone (908) 852-2470

346 Route 46
Rockaway, NJ 07866-3815
Phone (973) 627-4870

501 State Route 10
Ledgewood, NJ 07852-9667
Phone (973) 584-6751

561 US Hwy 1 S Unit E3/E4
Immediate Care Medical Walk in
Edison, NJ 08817-4400
Phone (732) 933-0950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Sep 30, 2024 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Sep 30, 2024 Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1306691548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PRIDES XING",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711147",
            "telephone_number": "848-219-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRIDES XING",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711147",
            "telephone_number": "848-219-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAMTA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "DNP, APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15026300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.