Active NPI
Mona Patel M D LLC
- Psychosomatic Medicine Physician
- Emerson, NJ
National Provider Identifier
1346456423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- MA54437
- Legal business name
- MONA PATEL M D LLC
- Practice address
- 70 Kinderkamack Rd
Suite 201
Emerson, NJ 07630-1883 - Phone
- (201) 599-9700
- Fax
- (201) 599-3330
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mona Patel, M.D.
- Title
- Psychiatrist
- Phone
- (201) 599-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | MA54437 | NJ | Primary |
Addresses
Primary practice location
70 Kinderkamack Rd
Suite 201
Emerson, NJ 07630-1883
Mailing address
70 Kinderkamack Rd
Suite 201
Emerson, NJ 07630-1883
Phone (201) 599-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8787107 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
70 Kinderkamack Rd
Ste 201
Emerson, NJ 07630
Phone (201) 599-9700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189382400000",
"number": "1346456423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 KINDERKAMACK RD",
"address_2": "SUITE 201",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301883",
"telephone_number": "201-599-9700",
"fax_number": "201-599-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 KINDERKAMACK RD",
"address_2": "SUITE 201",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301883",
"telephone_number": "201-599-9700",
"fax_number": "201-599-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONA PATEL M D LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2007-09-10",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MONA",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "201-599-9700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NJ",
"license": "MA54437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8787107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Emerson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.