Organization Active NPI

Priti P Patel MD

  • Plastic and Reconstructive Surgery Physician
  • Bedminster, NJ
National Provider Identifier
1326554155
Registry record updated Mar 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA09178200 Issued in NJ
Legal business name
PRITI P PATEL MD
Practice address
2345 Lamington Rd Ste 107
Bedminster, NJ 07921-2612
Phone
(908) 396-6272
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2018

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

Authorized official

Name
Dr. Priti P Patel, MDNPI 1760629273
Title
Surgeon
Phone
(908) 396-6272

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X 25MA09178200 NJ
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 25MA09178200 NJ Primary

Addresses

Primary practice location

2345 Lamington Rd Ste 107
Bedminster, NJ 07921-2612

Mailing address

1 Longford CT
Warren, NJ 07059-6766
Phone (732) 715-1619

Other practice location 1

2345 Lamington Rd Ste 107
Bedminster, NJ 07921-2612
Phone (908) 396-6272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180222002922 NJ Part B Supplier - Clinic/Group Practice 8921369562 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsborough, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520640000000",
    "number": "1326554155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONGFORD CT",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596766",
            "telephone_number": "732-715-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 LAMINGTON RD STE 107",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212612",
            "telephone_number": "908-396-6272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Lamington Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Bedminster",
            "state": "NJ",
            "postal_code": "079212612",
            "country_code": "US",
            "telephone_number": "908-396-6272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRITI P PATEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-03-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "908-396-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA09178200",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA09178200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.