Individual provider Active NPI

Jitendra K Patel, M.D.

  • Internal Medicine Physician
  • Atlantic City, NJ
National Provider Identifier
1316029804
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA066574 Issued in NJ
Practice address
2300 Atlantic Ave
#1
Atlantic City, NJ 08401-6680
Phone
(609) 345-9100
Fax
(609) 345-6114
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA066574 NJ Primary

Addresses

Primary practice location

2300 Atlantic Ave
#1
Atlantic City, NJ 08401-6680

Mailing address

2300 Atlantic Ave
#1
Atlantic City, NJ 08401-6680
Phone (609) 345-9100

Other identifiers 1

IdentifierTypeStateIssuer
7881908MedicaidNJ

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
I20050214000061 NJ Practitioner - Internal Medicine 8527010032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2300 Atlantic Ave
Suite 1
Atlantic City, NJ 08401-6680
Phone (609) 345-9100

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066574NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Health Center. PC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

2300 Atlantic Ave
#1
Atlantic City, NJ 08401
Phone (609) 345-9100

2300 Atlantic Ave
Ste 1
Atlantic City, NJ 08401
Phone (609) 345-9100

600 Berlin Cross Keys Rd
Ste 102
Sicklerville, NJ 08081
Phone (609) 875-5152

Organizations & group practices 1

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.

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1316029804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ATLANTIC AVE",
            "address_2": "#1",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016680",
            "telephone_number": "609-345-9100",
            "fax_number": "609-345-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ATLANTIC AVE",
            "address_2": "#1",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016680",
            "telephone_number": "609-345-9100",
            "fax_number": "609-345-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JITENDRA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA066574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7881908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.