Organization Active NPI

Mona Patel M D LLC

  • Psychosomatic Medicine Physician
  • Emerson, NJ
National Provider Identifier
1346456423
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
MA54437 Issued in NJ
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

Updated by the provider on Sep 10, 2007

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)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8787107MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.