Nisha Bhaskar Patel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00601000 Issued in NJ

Practice address

18 No. Third Ave.
Highland Park, NJ 08904-2429

Phone

(732) 431-8266

Fax

(732) 294-9794

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Healthy Life MD., LLC

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1972041143
  Medicare reassignment
• Neurosurgical Associates of New Jersey, P.C.

  • Neurological Surgery Physician
  • Ridgewood, NJ
  • NPI 1992753594
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1346825379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRAMBLE DRIVE",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "07751",
            "telephone_number": "732-395-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NO. THIRD AVE.",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042429",
            "telephone_number": "732-431-8266",
            "fax_number": "732-294-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHA",
        "middle_name": "BHASKAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00601000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilip R Patel, PHARM.D
• Dipali Patel, PHARMD
• Hinalben P Patel, PA-C
• Krupali Patel, MD
• Meha C Patel
• Puja Patel, PHARMD
• Shivani Patel
• Kyle T Patrick
• Perez-Arias Psychotherapy Associates, LLC
• Gliceria G. Perez, LCSW

• Physician Assistant in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.