Organization Active NPI

Patnaik Internal Medicine LLC

  • Internal Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1346131356
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PATNAIK INTERNAL MEDICINE LLC
Practice address
2119 Klockner Rd
Hamilton, NJ 08690-3417
Phone
(609) 249-4200
Fax
(855) 538-9804
NPI assigned
Jul 9, 2025
Last updated
Nov 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Authorized official

Name
Dr. Asit Patnaik, MDNPI 1831280650
Title
Owner
Phone
(856) 313-6071

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: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2119 Klockner Rd
Hamilton, NJ 08690-3417

Mailing address

100 Starboard Way
Mount Laurel, NJ 08054-6116
Phone (856) 313-6071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250829004018 NJ Part B Supplier - Clinic/Group Practice 5890296834 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1346131356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STARBOARD WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546116",
            "telephone_number": "856-313-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903417",
            "telephone_number": "609-249-4200",
            "fax_number": "855-538-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATNAIK INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "PATNAIK",
        "authorized_official_first_name": "ASIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-313-6071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; 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.